Organization
THERMAL THERAPY MED SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LUDWIG FRITSCH LMT (PRESIDENT/OWNER)
(404) 819-0061
Entity
Organization
Contact information
Practice address
525 GLEN IRIS DR NE, #3425, ATLANTA, GA 30308-2963
(404) 819-0061
Mailing address
525 GLEN IRIS DR NE, #1101, ATLANTA, GA 30308-2963
(404) 819-0061
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
MT006973
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT006973
MASSAGE, HEAT THERAPY
GA
Enumeration date
09/16/2011
Last updated
09/16/2011
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