Individual
JUANITA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1807 OVER LAKE DR SE STE C, CONYERS, GA 30013-1765
(678) 216-8913
Mailing address
285 WISTERIA WAY, COVINGTON, GA 30016-7249
(678) 216-8913
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013707
GA
Other
Enumeration date
08/01/2024
Last updated
11/13/2025
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