Organization
THE MIRACLE OF MASSAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN WALTERS SR. LMT (CEO/ LICENSED MASSAGE THERAPIST)
(678) 883-2873
Entity
Organization
Contact information
Practice address
5300 MEMORIAL DR, SUITE 138, STONE MOUNTAIN, GA 30083-3148
(678) 883-2873
(800) 975-1805
Mailing address
5300 MEMORIAL DR, SUITE 138, STONE MOUNTAIN, GA 30083-3148
(678) 883-2873
(800) 975-1805
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT007445
GA
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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