Elaine Ponder, LMT

NPI #1932511979 in Tucker, Georgia

Provider Information

NPI Number
1932511979
Entity Type
Individual
Name
Elaine Ponder, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
May 26, 2014
Last Updated
May 26, 2014

Practice Location

Address
2323 MAIN ST
Address 2
SUITE A2
City
Tucker
State
Georgia
ZIP Code
30084-8522
Phone
(770) 695-0016

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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