| NPI | 1598244253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA TALLEY Medical Massage Therapist 678-590-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT002072) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2025-02-28 |