Andrew Gracen
Massage Therapist in Atlanta, GA. Individual provider (NPI-1).
NPI number1619782802
StatusActive
Last updated in NPPESFeb 12, 2025
Details
- NPI
- 1619782802
- Entity type
- Individual (NPI-1)
- Name
- Andrew Gracen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2025
- Certification date
- Feb 12, 2025
- Last updated
- Feb 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 007120 | GA | Yes |
Other names
- Drew Gracen (Professional Name)
Practice location
3133 Maple Dr NeAtlanta, GA 30305-2505
Phone 404-220-7720
Mailing address
5480 Willow Point PkwyMarietta, GA 30068-1834
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