Individual
JACQUELINE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6255 BARFIELD RD, ATLANTA, GA 30328-4319
(404) 920-8492
Mailing address
4404 NORTHLAKE HEIGHTS CIR NE, ATLANTA, GA 30345-2251
(770) 744-8052
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000874
GA
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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