Organization
SOUTHERN THERAPEUTIC MASSAGE STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA WATSON NMT (MASSAGE THERAPIST / OWNER)
(229) 328-0937
Entity
Organization
Contact information
Practice address
88 W. BROAD ST, CAMILLA, GA 31730
(229) 328-0937
Mailing address
88 W. BROAD ST, CAMILLA, GA 31730
(229) 328-0937
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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