Healthcare Provider Details

I. General information

NPI: 1811984198
Provider Name (Legal Business Name): BRITTIN KARI NORRIS CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 HEARD ST
ELBERTON GA
30635-2438
US

IV. Provider business mailing address

38 BEARPAW TRL
IVA SC
29655-8038
US

V. Phone/Fax

Practice location:
  • Phone: 706-988-3208
  • Fax:
Mailing address:
  • Phone: 706-988-3208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: