Individual
DEBRA MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1715 WINDCLIFF DR SE, MARIETTA, GA 30067-3801
(770) 873-4405
Mailing address
1715 WINDCLIFF DR SE, MARIETTA, GA 30067-3801
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-008754
GA
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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