Individual
COURTENEY SPIVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2015 NORTHERLY WAY, STONE MOUNTAIN, GA 30088-4309
(678) 558-8619
Mailing address
2015 NORTHERLY WAY, STONE MOUNTAIN, GA 30088-4309
(678) 558-8619
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT007493
GA
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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