| NPI | 1750512471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY WHITE Owner/President 706-651-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: GA MT000543) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2013-01-07 |