Individual
LINDA JEANNETTE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
29 NORTH AVE, SUITE 4, ELLIJAY, GA 30540-3564
(706) 698-7140
Mailing address
29 NORTH AVE, SUITE 4, ELLIJAY, GA 30540-3564
(706) 698-7140
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010421
GA
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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