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Queenetta Jernaine Richardson, LMT
Massage Therapist in Columbus, Georgia
NPI 1265138887

Queenetta Jernaine Richardson is a Massage Therapist based in Columbus, GA. Queenetta Jernaine Richardson practices in Columbus, GA and has the professional credentials of LMT. The NPI Number for Queenetta Jernaine Richardson is 1265138887 and holds a License No. MT006964 (Georgia).

The current practice location address for Queenetta Jernaine Richardson is 3228 University Ave Ste 105-106, Columbus, GA and can be reached out via phone at 706-992-6866 and via fax at 706-992-6867.

Location: 3228 University Ave Ste 105-106, Columbus, GA, 31907-7209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265138887
Provider Name
Queenetta Jernaine Richardson
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
3228 University Ave Ste 105-106, Columbus, GA, 31907-7209
Phone Number
706-992-6866
Fax Number
706-992-6867
Provider Enumeration Date
02/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3228 University Ave Ste 105-106
City
Columbus
State
Georgia
Zip
31907-7209
Phone Number
706-992-6866
Fax Number
706-992-6867
person
Provider Business Mailing Address Details
Address
3228 University Ave Ste 105-106
City
Columbus
State
Georgia
Zip
31907-7209
Phone Number
706-992-6866
Fax Number
706-992-6867
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT006964 (Georgia)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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