Individual
NIKITA THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3477 TARRAGON DR, DECATUR, GA 30034-6212
(706) 570-3553
Mailing address
650 PONCE DE LEON AVE NE STE 300, ATLANTA, GA 30308-1864
(404) 561-2427
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014027
GA
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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