Individual
JESSE DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LNMT
Contact information
Practice address
270 CARPENTER DR STE 500, SANDY SPRINGS, GA 30328-4946
(678) 668-4028
Mailing address
270 CARPENTER DR STE 500, SANDY SPRINGS, GA 30328-4946
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT004456
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
07/22/2019
Last updated
07/22/2019
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