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MRS. MATRILLA BARNES HALL LMP, CNMT, CMA

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1679117915

Individual Registrant:
MRS. MATRILLA BARNES HALL LMP, CNMT, CMA
Gender: F
Sole Proprietor

Location and contact information for practice:
120 MILLBROOK VILLAGE DR # B202  TYRONE, GA 30290-3605 US
Tel: 404-992-0812  Fax: --

Contact information for business:
PO BOX 311691  ATLANTA, GA 31131-1691 US
Tel: 678-643-1201  Fax: --

Registration Information:
NPI: 1679117915
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
GAMT002361

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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