Organization
MAGNOLIA WATERS CONCEIRGE TCM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYLVIA RENE'E PHILLIPS LMT (MASSAGE THERAPIST)
(423) 653-7596
Entity
Organization
Contact information
Practice address
2020 GUNBARREL RD STE 194, SUITE 124, CHATTANOOGA, TN 37421
(423) 847-2499
Mailing address
9425 MOUNTAIN SHADOWS DR, CHATTANOOGA, TN 37421-3455
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
03/30/2021
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