Individual provider · NPI-1

Randy Cabil, MASSAGE THERAPIST

Massage Therapist · Lawrenceville, GA

NPI number1487174223
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1487174223
Entity type
Individual (NPI-1)
Name
Randy Cabil
Credential
MASSAGE THERAPIST
Sex
Male
Sole proprietor
No
Enumeration date
Jun 22, 2017
Certification date
Feb 17, 2021
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMTO10435GAYes

Practice location

333 Swanson Dr Ste 102
Lawrenceville, GA 30043-8537

Phone 678-878-3069 · Fax 678-878-4455

Mailing address

Po Box 490186
Lawrenceville, GA 30049-0004

Phone 678-878-3069 · Fax 678-878-4455

Other practice locations

3400 Mcclure Bridge Rd Ste C304
Duluth, GA 30096-8706

Phone 678-878-3069 · Fax 678-878-4455

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