Individual
DANIEL W VEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPY
Contact information
Practice address
212 WOOD SMOKE RD, ROCKMART, GA 30153-3105
(770) 362-3840
Mailing address
212 WOOD SMOKE RD, ROCKMART, GA 30153-3105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT003239
GA
Other
Enumeration date
12/11/2010
Last updated
12/11/2010
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