Individual
DANA M ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
18 POINT PLACE DR, CARTERSVILLE, GA 30120
(770) 238-2238
Mailing address
18 POINT PLACE DR, CARTERSVILLE, GA 30120
(770) 238-2238
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
GA-MT006945
GA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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