Individual
JENNIFER DIANE HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1534 DAWSON RD, ALBANY, GA 31707-3437
(229) 435-9008
Mailing address
592 FLOWING WELL RD, LEESBURG, GA 31763-3153
(706) 831-2889
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001586
GA
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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