MEDICARE: BRITTANY LIEBERMANN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT013662	GA

General Provider Information

NPI Number	:	1801509831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY LIEBERMANN

Provider Business Mailing Address
First Line	:	221 UPPER RIVERDALE RD APT 13F
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30236-1020
Country	:	US
Telephone Number	:	470-699-7171
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 UPPER RIVERDALE RD APT 13F
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30236-1020
Country	:	US
Telephone Number	:	470-699-7171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2023
Last Update Date	:	01/04/2023

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Directions to “ BRITTANY LIEBERMANN ” Practice Location

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