Organization
IVEY NEUROMUSCULAR LLC
Active
Organization
IVEY NEUROMUSCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIENNE IVEY LMT (PRESIDENT)
(770) 565-6151
Entity
Organization
Contact information
Practice address
425 E CROSSVILLE RD, SUITE E111, ROSWELL, GA 30075-5817
(770) 552-4218
Mailing address
425 E CROSSVILLE RD, SUITE E111, ROSWELL, GA 30075-5817
(770) 552-4218
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001416
GA
Other
Enumeration date
12/10/2008
Last updated
12/11/2008
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