NPI 1154877363

Krystle Penn

Practitioner Massage Therapist Fayetteville, GA

Practice location

Address: 290 Highway 314 Suite B, Fayetteville, GA 30214-7813
Phone: (404) 994-7727

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Registry record

NPI: 1154877363
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2016
Record last updated: 7 Sep 2016

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.