| Mdj Massage Llc | |
|
4017 Grey Oak Dr, Valdosta, GA 31605-5865 | |
| (229) 262-8008 | |
| (229) 232-4743 |
| Full Name | Mdj Massage Llc |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 4017 Grey Oak Dr, Valdosta, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649897786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mdj Massage Llc 4017 Grey Oak Dr, Valdosta, GA 31605-5865 Ph: (229) 262-8008 | Mdj Massage Llc 4017 Grey Oak Dr, Valdosta, GA 31605-5865 Ph: (229) 262-8008 |
Mrs. Holly Deen Derossett, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2420 Bemiss Rd., Suite B, Valdosta, GA 31602 Phone: 229-293-9511 | |
Chryon Martin, LMT, NMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2236 Bemiss Rd # A, Valdosta, GA 31602 Phone: 229-232-4106 | |
Mr. John Richard Williams Jr., CFO, MT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2804 N Oak St Ste C, Valdosta, GA 31602 Phone: 229-241-8925 Fax: 229-241-7672 | |
Mrs. Jessica Mink Haines, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2420 Bemiss Rd Ste B, Valdosta, GA 31602 Phone: 229-293-9511 Fax: 229-293-9141 | |
William Jackson Bridges Jr., LMT,CNMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2420 Bemiss Rd Ste B, Valdosta, GA 31602 Phone: 229-293-9511 Fax: 229-293-9141 | |
Tieasha Shepherd, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Northside Dr, Valdosta, GA 31602 Phone: 229-531-3835 |