Individual
CANTRELLA V COFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1276 RALPH DAVID ABERNATHY BLVD SW STE 204, ATLANTA, GA 30310-1752
(678) 241-4470
Mailing address
1489 AVON AVE SW, ATLANTA, GA 30311-2701
(404) 783-0386
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2001327
GA
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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