Organization
INTENTION MASSAGE AND SKINCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEMITRA ROGERS LMT (CEO)
(678) 886-4759
Entity
Organization
Contact information
Practice address
5193 PEACHTREE BLVD STE 100, ATLANTA, GA 30341-2847
(678) 886-4759
Mailing address
PO BOX 660562, ATLANTA, GA 30366-7162
(678) 886-4759
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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