Individual provider · Type 1 NPI
Odena Lillian Wright
Massage Therapist · Fayetteville, GA
NPI number
1093029936
Active
Practice location
376 North Glynn St.
Fayetteville, GA 30214
Fax (404) 261-7555
Mailing address
P.o. Box 191782
Atlanta, GA 30319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT000794 (GA) |
Massage Therapist: 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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About NPI 1093029936
Odena Lillian Wright's National Provider Identifier is 1093029936, issued on Aug 3, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fayetteville, GA. The record was last updated on Jul 16, 2014.