NPI 1134424567

Debbra Holder Caddell, LMT

Practitioner Massage Therapist Fayetteville, GA

Practice location

Address: 215 Banks Sta, Fayetteville, GA 30214-7505
Phone: (770) 719-4949

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT002429 (GA)

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Registry record

NPI: 1134424567
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2011
Record last updated: 15 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.