Individual
DANIELLE REBECCA KONIECZNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4703 BRAZIL WOOD CT NW, KENNESAW, GA 30144-1487
(404) 384-4798
Mailing address
4703 BRAZIL WOOD CT NW, KENNESAW, GA 30144-1487
(404) 384-4798
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006512
GA
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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