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Elaine Ponder, LMT
Massage Therapist in Tucker, Georgia
NPI 1932511979

Elaine Ponder is a Massage Therapist based in Tucker, GA. Elaine Ponder practices in Tucker, GA and has the professional credentials of LMT. The NPI Number for Elaine Ponder is 1932511979 and holds a License No. MT009483 (Georgia).

The current practice location address for Elaine Ponder is 2323 Main St, Tucker, GA and can be reached out via phone at 770-695-0016.

Location: 2323 Main St, Tucker, GA, 30084-8522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932511979
Provider Name
Elaine Ponder
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2323 Main St, Tucker, GA, 30084-8522
Phone Number
770-695-0016
Fax Number
Provider Enumeration Date
05/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2323 Main St
City
Tucker
State
Georgia
Zip
30084-8522
Phone Number
770-695-0016
Fax Number
person
Provider Business Mailing Address Details
Address
2323 Main St
City
Tucker
State
Georgia
Zip
30084-8522
Phone Number
770-695-0016
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT009483 (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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