Individual
KRISTIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3396 DOGWOOD DRIVE, HAPEVILLE, GA 30354
(404) 218-7038
Mailing address
3396 DOGWOOD DR, ATLANTA, GA 30354-1447
(404) 218-7038
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012085
GA
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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