Individual
PATTI DENIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB THERAPIST
Contact information
Practice address
44 COTTONWOOD ST, CLAYTON, GA 30525-0000
(706) 490-3149
(706) 782-5266
Mailing address
PO BOX 396, LAKEMONT, GA 30552-0007
(706) 490-3149
(706) 782-5266
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000089
GA
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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