Individual provider · Type 1 NPI

Brian Odell Love-El

Massage Therapist · Avondale Estates, GA

NPI number 1508460825 Active

Practice location

260 Northern Ave Apt 2I
Avondale Estates, GA 30002-1758

Fax (478) 444-1043

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT009568 (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 1508460825

Brian Odell Love-El's National Provider Identifier is 1508460825, issued on Nov 27, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Avondale Estates, GA. The record was last updated on Nov 27, 2020.