| NPI | 1922794676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AREIGNA PRESTON Owner/Manager 470-323-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| 225700000X Massage Therapist | |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-11-23 |