Individual
RICHIE ELLINGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
266 ORVIN LANCE DR STE 102, BLUE RIDGE, GA 30513-8055
(706) 514-0769
Mailing address
177 ROPER RD LOT A-9, COPPERHILL, TN 37317-4447
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT015305
GA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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