Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LA SHAN BRIDGET ETTRESS, MT
Active Sole ProprietorMS. LA SHAN BRIDGET ETTRESS, MT is a Massage Therapist healthcare provider located in MCDONOUGH, Georgia. NPI 1609480979 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · MCDONOUGH, GA
Registration Details
- NPI Number
- 1609480979
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 3, 2020 (5.8998773890637 yrs)
- Last Updated
- Feb 4, 2022
- License
-
MT012485 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1660 NEIGHBORHOOD WALKMCDONOUGH, GA, 302528645Browse GA providers · Browse ZIP 30252
- Phone
- 3238357306
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in MCDONOUGH, GA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER MERCK NELSON | LMT | 1962676551 |
| MS. LORI A. DAMPIER | LMT | 1306099668 |
| MS. SUSAN LYNN GROSSER-MARCUM | LMT | 1861795767 |
| ORTAVIA TAYLOR | — | 1295199149 |
| REBECCA WARD | — | 1710330162 |
| JOSELYN SPANN | — | 1316425333 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.