| Ms Samantha Elizabeth Wilson, MASSAGE THERAPIST | |
|
2185 Northlake Pkwy Ste 100, Tucker, GA 30084-4100 | |
| (770) 493-6360 | |
| (770) 493-6350 |
| Full Name | Ms Samantha Elizabeth Wilson |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 2185 Northlake Pkwy Ste 100, Tucker, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295170959 | NPI | - | NPPES |
| MT004816 | Other | GA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT004816 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Samantha Elizabeth Wilson, MASSAGE THERAPIST 2185 Northlake Pkwy Ste 100, Tucker, GA 30084-4100 Ph: (770) 493-6360 | Ms Samantha Elizabeth Wilson, MASSAGE THERAPIST 2185 Northlake Pkwy Ste 100, Tucker, GA 30084-4100 Ph: (770) 493-6360 |
Ms. Kathy A. Riederich, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 Engle Dr, Tucker, GA 30084 Phone: 404-273-0616 | |
Mr. Calvin A Johnson Jr., HHP, LMMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3983 Lavista Rd Ste 184, Tucker, GA 30084 Phone: 770-871-9640 | |
Miss Sherryl Saunders, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1018 Oak Chase Dr Apt L, Tucker, GA 30084 Phone: 770-710-3904 | |
Stephanie Shockley, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3535 Lawrenceville Hwy, Tucker, GA 30084 Phone: 404-764-8499 | |
S Domingo, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4112 Hughes Lea, Tucker, GA 30084 Phone: 770-827-2009 | |
Ms. Heather Helen Hale, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4076 Morgan Rd, Tucker, GA 30084 Phone: 678-357-3026 |