Individual
CARISA CHREE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2141 KINGSTON CT SE STE 111, MARIETTA, GA 30067-8928
(470) 999-0392
Mailing address
2141 KINGSTON CT SE STE 111, MARIETTA, GA 30067-8928
(470) 999-0392
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011526
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052887721
MASSAGE THERAPIST
GA
Enumeration date
11/11/2020
Last updated
11/11/2020
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