NPI 1013529957

Sonja Renee Gibson, MT

Practitioner Massage Therapist Fayetteville, GA

Practice location

Address: 275 Glynn St S, Fayetteville, GA 30214-2015
Phone: (470) 278-5175

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 00008687 (GA)

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Registry record

NPI: 1013529957
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2020
Record last updated: 21 Aug 2020

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.