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Carolyn T Davis, LMTNCTMBSET
Massage Therapist in Lawrenceville, Georgia
NPI 1972826899

Carolyn T Davis is a Massage Therapist based in Dacula, GA. Carolyn T Davis practices in Lawrenceville, GA and has the professional credentials of LMTNCTMBSET. The NPI Number for Carolyn T Davis is 1972826899 and holds a License No. MT001114 (Georgia).

The current practice location address for Carolyn T Davis is 1130 Hurricane Shoals Rd Ne, Lawrenceville, GA and can be reached out via phone at 678-462-2972. You can also correspond with Carolyn T Davis through the mailing address at 582 MACKENZIE CT, DACULA, GA - 30019-2385 (mailing address contact number: 678-462-2972).

Location: 1130 Hurricane Shoals Rd Ne, Lawrenceville, GA, 30019-2385
person
Provider Profile Details
NPI Number
1972826899
Provider Name
Carolyn T Davis
Credential
LMTNCTMBSET
Provider Entity Type
Individual
Gender
Female
Address
1130 Hurricane Shoals Rd Ne, Lawrenceville, GA, 30019-2385
Phone Number
678-462-2972
Fax Number
Provider Enumeration Date
03/05/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MT001114 01 GA MASSAGE LICENSE
2008002671 01 GA GWINNETT COUNTY BUSINESS LICENSE
538877-07 01 NATIONAL CERTIFICATION OF THERAPEUTIC MASSAGE & BODYWORK
institution
Provider Business Practice Location Address Details
Address
1130 Hurricane Shoals Rd Ne
City
State
Zip
30043-4851
Phone Number
678-462-2972
Fax Number
person
Provider Business Mailing Address Details
Address
582 Mackenzie Ct
City
State
Zip
30019-2385
Phone Number
678-462-2972
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MT001114 (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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