NPI 1205487725

Ursula Jacinta Edwards, LMTCNMT

Practitioner Mechanotherapist Fayetteville, GA

Practice location

Address: 500 Lanier Ave W STE 411, Fayetteville, GA 30214-7638
Phone: (404) 765-0798

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MT003516

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Registry record

NPI: 1205487725
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2019
Record last updated: 25 Sep 2019

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.