Individual
ALLISON PRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
6990 ANNIE WALK, LITHONIA, GA 30038-4677
(678) 780-4783
Mailing address
6990 ANNIE WALK, LITHONIA, GA 30038-4677
(678) 373-5539
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN090010
GA
225700000X
Massage Therapist
Primary
MT014020
GA
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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