Individual
RENA BLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CNMT
Contact information
Practice address
600 HOUZE WAY, STE A-1, ROSWELL, GA 30076-1435
(678) 438-8569
Mailing address
600 HOUZE WAY, STE A-1, ROSWELL, GA 30076-1435
(678) 438-8569
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006025
GA
Other
Enumeration date
03/15/2011
Last updated
04/16/2013
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