NPI 1124777198

Nina Dmitrieff, DNHLMTMLDCCCT

Practitioner Massage Therapist Roswell, GA

Practice location

Address: 1014 Canton St, Roswell, GA 30075-3615
Phone: (404) 904-7736
Mailing address: 185 Thatching Ln, Alpharetta, GA 30022-7376

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT013198 (GA)

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Registry record

NPI: 1124777198
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2022
Record last updated: 18 Mar 2022

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.