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Ms. Latisha Lopez, MT012800
Massage Therapist in East Point, Georgia
NPI 1710685763

Latisha Lopez is a Massage Therapist based in East Point, GA. Latisha Lopez practices in East Point, GA and has the professional credentials of MT012800. The NPI Number for Latisha Lopez is 1710685763 and holds a License No. MT012800 (Georgia).

The current practice location address for Latisha Lopez is 3259 Washington Rd Apt 5, East Point, GA and can be reached out via phone at 404-621-9416.

Location: 3259 Washington Rd Apt 5, East Point, GA, 30344-5451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710685763
Provider Name
Latisha Lopez
Credential
MT012800
Provider Entity Type
Individual
Gender
Female
Address
3259 Washington Rd Apt 5, East Point, GA, 30344-5451
Phone Number
404-621-9416
Fax Number
Provider Enumeration Date
02/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3259 Washington Rd Apt 5
City
East Point
State
Georgia
Zip
30344-5451
Phone Number
404-621-9416
Fax Number
person
Provider Business Mailing Address Details
Address
3259 Washington Rd Apt 5
City
East Point
State
Georgia
Zip
30344-5451
Phone Number
404-621-9416
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT012800 (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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