Individual provider · Type 1 NPI

Shelby Woodall

Massage Therapist · Smyrna, GA

NPI number 1912438110 Active

Practice location

1154 Concord Rd SE
Smyrna, GA 30080-4263

Call (770) 855-0679 Map

Mailing address

728 Woodmont Dr
Marietta, GA 30062-3833

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMT-23019 (AZ)
Massage Therapist Primary 225700000XMT011771 (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 1912438110

Shelby Woodall's National Provider Identifier is 1912438110, issued on Mar 21, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Smyrna, GA. The record was last updated on Nov 23, 2019.