NPI 1093029936

Odena Lillian Wright

Practitioner Massage Therapist Fayetteville, GA

Practice location

Address: 376 North Glynn St., Fayetteville, GA 30214
Phone: (404) 312-0486
Fax: (404) 261-7555
Mailing address: P.O. Box 191782, Atlanta, GA 30319

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT000794 (GA)

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Registry record

NPI: 1093029936
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Aug 2010
Record last updated: 16 Jul 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.