Miguel Luis Ayala, LMT Valid NPI
Individual provider · Massage Therapist · Hinesville, GA
- NPI
- 1720377781
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- MT005482 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-03-30
- Last updated
- 2011-03-30
Practice location
105 N Main St
Hinesville, GA 31313-3237
(912) 408-7777