Individual
LATRISSHA R DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NMT
Contact information
Practice address
275 CARPENTER DR STE 350, SANDY SPRINGS, GA 30328-4965
(404) 384-3897
Mailing address
275 CARPENTER DR STE 350, SANDY SPRINGS, GA 30328-4965
(404) 384-3897
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000831
GA
Other
Enumeration date
03/02/2021
Last updated
03/08/2021
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