SearchGeorgia2255A2300X

Lauren Willie, LAT, ATC, MAT

NPI 1356065270 · on the registry since 2022

Practice

Address
6649 Vibbert Ave
Fort Benning, GA 31905
Phone
(251) 716-2109

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-04

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 Georgia