Individual
SHELBY WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1154 CONCORD RD SE, SMYRNA, GA 30080-4263
(770) 855-0679
Mailing address
728 WOODMONT DR, MARIETTA, GA 30062-3833
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT-23019
AZ
225700000X
Massage Therapist
Primary
MT011771
GA
Other
Enumeration date
03/21/2017
Last updated
11/23/2019
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