Individual
SCOTT OGLESBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, MMT, BCTMB
Contact information
Practice address
454 BLAKE AVE SE, ATLANTA, GA 30316-1720
(404) 937-6234
Mailing address
454 BLAKE AVE SE, ATLANTA, GA 30316-1720
(617) 571-8684
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9989
GA
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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