Individual
MISS DESTINY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3133 MAPLE DR NE STE 120, ATLANTA, GA 30305-2509
(770) 330-7903
Mailing address
261 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30312-2634
(770) 330-7903
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013485
GA
Other
Enumeration date
11/14/2021
Last updated
11/14/2021
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