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Shelby Woodall
Massage Therapist in Smyrna, Georgia
NPI 1912438110

Shelby Woodall is a Massage Therapist based in Marietta, GA. Shelby Woodall practices in Smyrna, GA. The NPI Number for Shelby Woodall is 1912438110 and holds a License No. MT-23019 (Georgia).

The current practice location address for Shelby Woodall is 1154 Concord Rd Se, Smyrna, GA and can be reached out via phone at 770-855-0679. You can also correspond with Shelby Woodall through the mailing address at 728 WOODMONT DR, MARIETTA, GA - 30062-3833 (mailing address contact number: ).

Location: 1154 Concord Rd Se, Smyrna, GA, 30062-3833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912438110
Provider Name
Shelby Woodall
Credential
Provider Entity Type
Individual
Gender
Female
Address
1154 Concord Rd Se, Smyrna, GA, 30062-3833
Phone Number
770-855-0679
Fax Number
Provider Enumeration Date
03/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1154 Concord Rd Se
City
Smyrna
State
Georgia
Zip
30080-4263
Phone Number
770-855-0679
Fax Number
person
Provider Business Mailing Address Details
Address
728 Woodmont Dr
City
Marietta
State
Georgia
Zip
30062-3833
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT-23019 (Arizona)
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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