Organization
ORCHID VITALITY COLON AND MASSAGE THERAPY
Active
Parent organization
ORCHID VITALITY COLONICS AND MASSAGE THERAPY
Other names
ORCHID VITALITY Colonics and Massage Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORCHID VITALITY COLONICS AND MASSAGE THERAPY
Authorized official
MRS. S. YVETTE MERRIMAN (LEAD THERAPIST)
(678) 390-4306
Entity
Organization
Contact information
Practice address
244 14TH ST NE STE B, ATLANTA, GA 30309-3696
(678) 390-4306
(706) 661-0249
Mailing address
244 14TH ST NE STE B, ATLANTA, GA 30309-3696
(678) 390-4306
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
175F00000X
Naturopath
—
—
175L00000X
Homeopath
—
—
183700000X
Pharmacy Technician
PHTC022614
GA
225700000X
Massage Therapist
MT011362
GA
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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