Organization
EAST COBB MASSAGE THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN ESTRUMSA LMT (PRESIDENT)
(404) 627-7243
Entity
Organization
Contact information
Practice address
2440 SANDY PLAINS RD, BLDG 3, SUITE 105, MARIETTA, GA 30066-7217
(404) 627-7243
Mailing address
2243 SPALDING DR, MARIETTA, GA 30062-1755
(404) 627-7243
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MT000233
GA
Other
Enumeration date
02/02/2010
Last updated
09/24/2013
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