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Mrs. Lacana N Tenn, MLT
Massage Therapist in Fayetteville, Georgia
NPI 1568011120

Lacana N Tenn is a Massage Therapist based in Hampton, GA. Lacana N Tenn practices in Fayetteville, GA and has the professional credentials of MLT. The NPI Number for Lacana N Tenn is 1568011120 and holds a License No. MT008312 (Georgia).

The current practice location address for Lacana N Tenn is 106 New Hope Rd, Fayetteville, GA and can be reached out via phone at 678-521-6434. You can also correspond with Lacana N Tenn through the mailing address at 569 KIMBERWICK DR, HAMPTON, GA - 30228-3412 (mailing address contact number: 678-521-6434).

Location: 106 New Hope Rd, Fayetteville, GA, 30228-3412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568011120
Provider Name
Lacana N Tenn
Credential
MLT
Provider Entity Type
Individual
Gender
Female
Address
106 New Hope Rd, Fayetteville, GA, 30228-3412
Phone Number
678-521-6434
Fax Number
Provider Enumeration Date
09/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
106 New Hope Rd
City
Fayetteville
State
Georgia
Zip
30214-1360
Phone Number
678-521-6434
Fax Number
person
Provider Business Mailing Address Details
Address
569 Kimberwick Dr
City
Hampton
State
Georgia
Zip
30228-3412
Phone Number
678-521-6434
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT008312 (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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