Individual
JORDEN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3133 MAPLE DR NE, ATLANTA, GA 30305-2505
(404) 220-7770
Mailing address
77 QUAIL RUN, CARTERSVILLE, GA 30120-2387
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008644
GA
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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