Individual
MALINDA ANN EMRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.M.T.
Contact information
Practice address
4360 CHAMBLEE DUNWOODY RD, ATLANTA, GA 30341-1049
(770) 457-7812
Mailing address
3510 PEBBLE HILL DR, MARIETTA, GA 30062-1165
(770) 457-7812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT003518
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT003518
MASSAGE THERAPY
GA
Enumeration date
02/26/2008
Last updated
02/26/2008
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