Organization
SOMATIC INTEGRATIVE THERAPY
Active
Parent organization
I CHOOSE HEALTH 360 LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
I CHOOSE HEALTH 360 LLC
Authorized official
SHANDRENA HADJAMARA WILLIAMS LMT (CEO / FOUNDER)
(470) 222-4424
Entity
Organization
Contact information
Practice address
284 HIGHWAY 314, FAYETTEVILLE, GA 30214-7832
(470) 222-4424
Mailing address
PO BOX 28893, SANDY SPRINGS, GA 30358-0893
(470) 222-4424
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007602
GA
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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