| NPI | 1790076230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DAVIS MILLS-WATSON Owner 678-344-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2017-03-16 |