NPI 1023422433

Relax & Relief Therapeutic

Organisation Preferred Provider Organization Macon, GA

Practice location

Address: 750 Riverside Drive Ln Suite#125, Macon, GA 31201-2669
Phone: (478) 978-5779
Mailing address: 750 Riverside Dr, Macon, GA 31201-2611

Authorised official

Name: Demetrice Lashay Harris
Title: Licensed Massage Therapist
Phone: (478) 228-2823

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MT003571 (GA)

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Registry record

NPI: 1023422433
Entity type: Organization
NPI issued: 12 Jun 2014
Record last updated: 12 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.