Individual provider · NPI-1

Belinda Mavis Garrett-Ibe, Massage Therapist

Massage Therapist · Lawrenceville, GA

NPI number1144516279
StatusActive
Last updated in NPPESJun 27, 2011

Details

NPI
1144516279
Entity type
Individual (NPI-1)
Name
Mrs. Belinda Mavis Garrett-Ibe
Credential
Massage Therapist
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 27, 2011
Last updated
Jun 27, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT000740GAYes

Practice location

3444 Club Dr
Lawrenceville, GA 30044-2402

Phone 770-771-2570

Mailing address

1551 Park Grove Dr
Lawrenceville, GA 30046-4398

Phone 770-771-2570

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