Individual
JAEL HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 JOHNSON FERRY RD, MARIETTA, GA 30062-6404
(678) 615-1361
Mailing address
2200 CORNERS MILL DR, PEACHTREE CORNERS, GA 30092-3567
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007495
GA
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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