Individual provider · Type 1 NPI

La Shan Bridget Ettress, MT

Massage Therapist · Mcdonough, GA

NPI number 1609480979 Active

Practice location

1660 Neighborhood Walk
Mcdonough, GA 30252-8645

Call (323) 835-7306 Map

Mailing address

100 Postmaster Dr Unit 3082
Mcdonough, GA 30253-2832

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT012485 (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 1609480979

La Shan Bridget Ettress, MT's National Provider Identifier is 1609480979, issued on Sep 3, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mcdonough, GA. The record was last updated on Feb 4, 2022.