Individual
JUANITA BATES BONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HOUZE WAY STE D3, ROSWELL, GA 30076-1433
(678) 404-5253
(404) 393-1814
Mailing address
600 HOUZE WAY STE D3, ROSWELL, GA 30076-1433
(678) 404-5253
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
MT010352
GA
225700000X
Massage Therapist
Primary
MT010352
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT010352
LICENSE MASSAGE THERAPIST
GA
Enumeration date
08/20/2020
Last updated
09/25/2025
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