Individual
LINDA NORDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
145 CHURCH ST NE STE 103, MARIETTA, GA 30060-1691
(404) 987-0624
Mailing address
PO BOX 256, MARIETTA, GA 30061-0256
(404) 987-0624
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011202
GA
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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