Individual
SHENEL VANTERPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
265 BRADY WALK, LAWRENCEVILLE, GA 30046-8846
(770) 241-8198
Mailing address
265 BRADY WALK, LAWRENCEVILLE, GA 30046-8846
(770) 241-8198
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010256
GA
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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