Organization
BALANCE BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SMITH L.M.T (MASSAGE THERAPIST)
(706) 284-1028
Entity
Organization
Contact information
Practice address
3685 OLD PETERSBURG RD STE 105, MARTINEZ, GA 30907-0827
(706) 284-1028
Mailing address
3720 WINCHESTER TRL, MARTINEZ, GA 30907-3338
(706) 284-1028
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT008261
GA
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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