Individual provider · Type 1 NPI

Adele Marie Ngo Banack

Massage Therapist · Lawrenceville, GA

NPI number 1972260735 Active

Practice location

1755 N Brown Rd Ste 200
Lawrenceville, GA 30043-2018

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT006744 (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 1972260735

Adele Marie Ngo Banack's National Provider Identifier is 1972260735, issued on Nov 29, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 29, 2021.