Individual
DONNA MICHELLE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1510 N THORNTON AVE, DALTON, DALTON, GA 30720-8517
(706) 275-0543
Mailing address
PO BOX 121, CHICKAMAUGA, CHICKAMAUGA, GA 30707-0121
(423) 400-9610
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1761
GA
225700000X
Massage Therapist
5178
TN
Other
Enumeration date
04/12/2007
Last updated
08/06/2007
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