Organization
ELEGANT TOUCH MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AYSHA COOPER (OWNER)
(404) 805-3464
Entity
Organization
Contact information
Practice address
2590 PEACHTREE INDUSTRIAL BLVD STE D, DULUTH, GA 30097-3405
(404) 437-6816
Mailing address
1740 HEATHERGLADE LN, LAWRENCEVILLE, GA 30045-9754
(404) 437-6816
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT002374
GA
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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