Individual
ELLEN KENNEDY BARFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4366 GLEN RAVEN CT, DECATUR, GA 30035-1501
(404) 749-7671
Mailing address
4366 GLEN RAVEN CT, DECATUR, GA 30035-1501
(404) 749-7671
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012385
GA
Other
Enumeration date
10/24/2021
Last updated
10/24/2021
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