| NPI | 1528590940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ELLIOTT BECKETT Owner/Operator 404-307-8201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT000813) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA002167) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |