Individual
STACY REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
153 W CANDLER ST, WINDER, GA 30680-1738
(404) 939-4661
Mailing address
PO BOX 208, WINDER, GA 30680-0208
(404) 939-4661
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008415
GA
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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