Individual
DANNIELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1099 BOULEVARD SE APT 2111, ATLANTA, GA 30312-3875
(678) 235-4017
Mailing address
1099 BOULEVARD SE APT 2111, ATLANTA, GA 30312-3875
(678) 235-4017
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013844
GA
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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