Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KOURTKNIE ALEXIS AMILLIDREEM, LMT 3679
Active Sole ProprietorKOURTKNIE ALEXIS AMILLIDREEM, LMT 3679 is a Massage Therapist healthcare provider located in BRANDON, Mississippi. NPI 1013736628 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · BRANDON, MS
Registration Details
- NPI Number
- 1013736628
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2024 (1.8024799139855 yrs)
- Last Updated
- Oct 10, 2024
- License
-
LMT3679 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1222 OLD FANNIN RD STE DBRANDON, MS, 390478795Browse MS providers · Browse ZIP 39047
- Phone
- 6018425559
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in BRANDON, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. DAWN LOUISE LITTLE | LMT | 1689968976 |
| DEREK CUMBERLAND | LMT,MMP | 1619531084 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.