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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN BROCK, L.M.T.

Active Sole Proprietor

SUSAN BROCK, L.M.T. is a Massage Therapist healthcare provider located in MACON, Georgia. NPI 1366855132 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · MACON, GA

Registration Details

NPI Number
1366855132
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2014 (12.155902673741 yrs)
Last Updated
Jun 9, 2014
License
MT001483 (GA)
Sole Proprietor
Yes

Practice Information

Address
3260 VINEVILLE AVE
MACON, GA, 312042324
Browse GA providers · Browse ZIP 31204
Phone
4789606366
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in MACON, GA

Name Credential NPI
MRS. BONITA ANN MITCHELL MASSAGE THERAPIST MT 1093967317
MS. LINDA A ELLIS BA, LMT 1750656583
TIFFANI GAITERS LMT 1124410055
KEVIN BARRETT ROWLEY 1417436908
JONESHIA MYLES LMT 1548976335
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.