Individual
MS. AMANDA BRATHWAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSSAGE THERAPIST.
Contact information
Practice address
264 19TH ST NW, 2230, ATLANTA, GA 30363-1135
(404) 861-6282
Mailing address
5871 GRAYWOOD CIR SE, MABLETON, GA 30126-2895
(404) 861-6282
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000610
GA
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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