Individual
HEATHER L PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3021 REGAL DR, MCDONOUGH, GA 30253-8609
(404) 621-8357
Mailing address
3021 REGAL DR, MCDONOUGH, GA 30253-8609
(404) 621-8357
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012232
GA
225700000X
Massage Therapist
NVMT10404
NV
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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