Organization
ADDED PRESSURE MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ELLIOTT BECKETT LMT, LPTA (OWNER/OPERATOR)
(404) 307-8201
Entity
Organization
Contact information
Practice address
1387 HAYNES MEADOW TRL, GRAYSON, GA 30017-2816
(404) 307-8201
Mailing address
1387 HAYNES MEADOW TRL, GRAYSON, GA 30017-2816
(404) 307-8201
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA002167
GA
225700000X
Massage Therapist
Primary
MT000813
GA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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