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Octavia Elayne Mckenney
Massage Therapist in Marietta, Georgia
NPI 1811529225

Octavia Elayne Mckenney is a Massage Therapist based in Marietta, GA. Octavia Elayne Mckenney practices in Marietta, GA. The NPI Number for Octavia Elayne Mckenney is 1811529225 and holds a License No. MT011404 (Georgia).

The current practice location address for Octavia Elayne Mckenney is 3577 Main Station Dr Sw, Marietta, GA and can be reached out via phone at 678-869-1250. You can also correspond with Octavia Elayne Mckenney through the mailing address at 3577 MAIN STATION DR SW, MARIETTA, GA - 30008-6054 (mailing address contact number: 678-869-1250).

Location: 3577 Main Station Dr Sw, Marietta, GA, 30008-6054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811529225
Provider Name
Octavia Elayne Mckenney
Credential
Provider Entity Type
Individual
Gender
Female
Address
3577 Main Station Dr Sw, Marietta, GA, 30008-6054
Phone Number
678-869-1250
Fax Number
Provider Enumeration Date
02/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3577 Main Station Dr Sw
City
Marietta
State
Georgia
Zip
30008-6054
Phone Number
678-869-1250
Fax Number
person
Provider Business Mailing Address Details
Address
3577 Main Station Dr Sw
City
Marietta
State
Georgia
Zip
30008-6054
Phone Number
678-869-1250
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT011404 (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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