Organization
PHENOMENAL FEELING VITALITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER CALVIN LMT (MASSAGE THERAPIST/OWNER)
(404) 316-8288
Entity
Organization
Contact information
Practice address
147 BANKS STA, FAYETTEVILLE, GA 30214-7504
(404) 316-8288
Mailing address
147 BANKS STA, FAYETTEVILLE, GA 30214-7504
(404) 316-8288
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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