Individual
MS. TAYLOR PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
4049 MAXANNE DR NW, KENNESAW, GA 30144-2177
(678) 885-7417
Mailing address
4049 MAXANNE DR NW, KENNESAW, GA 30144-2177
(678) 885-7417
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT007910
GA
Other
Enumeration date
08/17/2014
Last updated
08/17/2014
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