Individual
MR. MATTHEW PENOYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4011 ADDIE LN, MARIETTA, GA 30068-2602
(678) 852-6230
Mailing address
4011 ADDIE LN, MARIETTA, GA 30068-2602
(678) 852-6230
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006323
GA
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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