Organization
RELAX & RELIEF THERAPEUTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEMETRICE LASHAY HARRIS LMT (LICENSED MASSAGE THERAPIST)
(478) 228-2823
Entity
Organization
Contact information
Practice address
750 RIVERSIDE DRIVE LN, SUITE#125, MACON, GA 31201-2669
(478) 978-5779
Mailing address
750 RIVERSIDE DR, MACON, GA 31201-2611
(478) 978-5779
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MT003571
GA
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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