Organization
MASSAGE THERAPEUTICS, INC CENTER FOR WELLNESS
Active
Other names
Ursula J. Edwards Ellerby
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. URSULA JACINTA EDWARDS ELLERBY LMT, NMT (CEO/NEUROMUSCULAR THERAPIST)
(404) 765-0798
Entity
Organization
Contact information
Practice address
500 LANIER AVE W STE 411, FAYETTEVILLE, GA 30214-7638
(404) 765-0798
Mailing address
8299 DEWAYNE LN, JONESBORO, GA 30236-3710
(404) 765-0798
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MT003516
GA
Other
Enumeration date
12/30/2007
Last updated
09/24/2013
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