Individual
DANIELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
230 KIRKTON KNLS, JOHNS CREEK, GA 30022-7633
(404) 759-5912
Mailing address
230 KIRKTON KNLS, JOHNS CREEK, GA 30022-7633
(404) 759-5912
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010087
GA
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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