Mystic Massage

NPI #1003078387 in Atlanta, Georgia

Provider Information

NPI Number: 1003078387
Entity Type: Organization
Organization Name: Mystic Massage
Primary Specialty: Specialist
Enumeration Date: Jun 27, 2008
Last Updated: Jun 27, 2008

Practice Location

Address: 8725 ROSWELL RD
City: Atlanta
State: Georgia
ZIP Code: 30350-7533
Phone: (404) 914-1822

Authorized Official

Name: ANNA LEE GOODE, LMT
Title: OWNER/OPERATOR
Phone: (404) 914-1822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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