Individual provider · Type 1 NPI

Mary Lou Ross, LMT

Massage Therapist · Douglasville, GA

NPI number 1619191665 Active

Practice location

4147 N Quail Dr
Douglasville, GA 30135-3844

Call (404) 402-9985 Map

Fax (770) 489-6961

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT000186 (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 1619191665

Mary Lou Ross, LMT's National Provider Identifier is 1619191665, issued on Apr 12, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Douglasville, GA. The record was last updated on Jul 8, 2007.