Glenda Ivey, MASSAGE THERAPIST

NPI #1922738160 in Loganville, Georgia

Provider Information

NPI Number: 1922738160
Entity Type: Individual
Name: Glenda Ivey, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: MASSAGE THERAPIST
Enumeration Date: Jun 11, 2022
Last Updated: Jun 11, 2022

Practice Location

Address: 299 COOPER RD STE B
City: Loganville
State: Georgia
ZIP Code: 30052-2579
Phone: (706) 250-1769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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