Organization
THRIVE GERIATIRC MASSAGE LLC
Active
Other names
Thrive Geriatric Massage
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA LEA BAGWELL (OWNER)
(470) 660-5154
Entity
Organization
Contact information
Practice address
4004 PINE MOUNTAIN RD NW, KENNESAW, GA 30152-3356
(470) 660-5154
Mailing address
4004 PINE MOUNTAIN RD NW, KENNESAW, GA 30152-3356
(470) 660-5154
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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