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Kourtknie Amillidreem, LMT 3679
NPI 1013736628 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1222 Old Fannin Rd Ste D
Brandon, MS 39047 - Phone
- (601) 842-5559
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi