Individual
KELLY HARWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 ROSWELL RD STE 1050, MARIETTA, GA 30062-3982
(678) 883-5668
Mailing address
1800 ROSWELL RD STE 1050, MARIETTA, GA 30062-3982
(678) 883-5668
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012515
GA
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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