MEDICARE: MRS. BRITTIN KARI NORRIS CMT

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

General Provider Information

NPI Number	:	1811984198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITTIN KARI NORRIS CMT

Provider Business Mailing Address
First Line	:	38 BEARPAW TRL
Second Line	:
City	:	IVA
State	:	SC
Zip	:	29655-8038
Country	:	US
Telephone Number	:	706-988-3208
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 HEARD ST
Second Line	:
City	:	ELBERTON
State	:	GA
Zip	:	30635-2438
Country	:	US
Telephone Number	:	706-988-3208
Fax Number	:

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

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	07/08/2007

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