Individual
ROBIN AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4116 CRIPPLE CREEK WAY NW, KENNESAW, GA 30144-2164
(404) 977-9551
Mailing address
4116 CRIPPLE CREEK WAY NW, KENNESAW, GA 30144-2164
(404) 977-9551
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010918
GA
Other
Enumeration date
06/11/2017
Last updated
07/21/2022
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