Individual provider · NPI-1

Laurence Hurling Sr.

Massage Therapist · Lithonia, GA

NPI number1003635699
StatusActive
Last updated in NPPESOct 11, 2024

Details

NPI
1003635699
Entity type
Individual (NPI-1)
Name
Laurence Hurling Sr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 9, 2024
Certification date
Oct 11, 2024
Last updated
Oct 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT010271GAYes

Practice location

1984 Wellborn Rd
Lithonia, GA 30058-5438

Phone 404-310-6191

Mailing address

1984 Wellborn Rd
Lithonia, GA 30058-5438

Phone 404-310-6191

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