| NPI | 1548448731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN HUBENY Office Manager/Therapist 404-943-1053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA MT004390) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT004390) |
| 226300000X Kinesiotherapist (Licence: GA MT004390) | |
| Enumeration Date | 2008-02-10 |
| Last Update Date | 2008-06-22 |