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Gina Marie Wiedrich, MT
Massage Therapist in Canton, Georgia
NPI 1831331024

Gina Marie Wiedrich is a Massage Therapist based in Canton, GA. Gina Marie Wiedrich practices in Canton, GA and has the professional credentials of MT. The NPI Number for Gina Marie Wiedrich is 1831331024 and holds a License No. MT001530 (Georgia).

The current practice location address for Gina Marie Wiedrich is 2920 Marietta Hwy Ste 108, Canton, GA and can be reached out via phone at 678-880-7346. You can also correspond with Gina Marie Wiedrich through the mailing address at 619 REDWOOD LN, CANTON, GA - 30114-7788 (mailing address contact number: 678-880-7346).

Location: 2920 Marietta Hwy Ste 108, Canton, GA, 30114-7788
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831331024
Provider Name
Gina Marie Wiedrich
Credential
MT
Provider Entity Type
Individual
Gender
Female
Address
2920 Marietta Hwy Ste 108, Canton, GA, 30114-7788
Phone Number
678-880-7346
Fax Number
Provider Enumeration Date
04/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2920 Marietta Hwy Ste 108
City
Canton
State
Georgia
Zip
30114-8207
Phone Number
678-880-7346
Fax Number
person
Provider Business Mailing Address Details
Address
619 Redwood Ln
City
Canton
State
Georgia
Zip
30114-7788
Phone Number
678-880-7346
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT001530 (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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