Individual
CRYSTAL MARIE RIVERS-HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
94 STONE WALL WAY, HIRAM, GA 30141-4582
(404) 771-9217
Mailing address
94 STONE WALL WAY, HIRAM, GA 30141-4582
(404) 771-9217
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011858
—
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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