Kourtknie Alexis Amillidreem, LMT3679
Kourtknie Alexis Amillidreem, LMT3679 is a Massage Therapist in Brandon, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2024
Practice location Address checks out
1222 Old Fannin Rd Ste DBrandon, MS 39047-8795
Phone: (601) 842-5559
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence LMT3679 (MS) |
|---|
Record details
| NPI number | 1013736628 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LMT3679 |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2024 |
| Last updated in NPPES | October 10, 2024 |
| Certification date | October 10, 2024 |
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