Organization
GEORGIA THERAPEUTIC MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY WHITE LMT (OWNER/PRESIDENT)
(706) 651-0202
Entity
Organization
Contact information
Practice address
7013 EVANS TOWN CENTER BLVD, SUITE 201, EVANS, GA 30809-5117
(706) 651-0202
(706) 651-0333
Mailing address
7013 EVANS TOWN CENTER BLVD, SUITE 201, EVANS, GA 30809-5117
(706) 651-0202
(706) 651-0333
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT000543
GA
Other
Enumeration date
07/29/2009
Last updated
01/07/2013
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