Individual
JACQUELYN RENNEE RODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1301 SHILOH RD NW, SUITE 811, KENNESAW, GA 30144-7147
(678) 389-1195
Mailing address
1301 SHILOH RD NW, SUITE 811, KENNESAW, GA 30144-7147
(678) 389-1195
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
GAMT011446
GA
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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