Individual
ALEXIS EDOUARD SERVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCTMB, CMT, NMT
Contact information
Practice address
1016 PIEDMONT AVE NE, ATLANTA, GA 30309-3702
(678) 232-6433
Mailing address
1016 PIEDMONT AVE NE, ATLANTA, GA 30309-3702
(678) 232-6433
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MT003953
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
529241-07
NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE & BODYWORK (NCBTMB)
GA
01
—
MT003953
GEORGIA BOARD OF MASSAGE THERAPY
GA
Enumeration date
04/20/2016
Last updated
04/20/2016
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