Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GINA MARIE WIEDRICH, MT
Active Sole ProprietorGINA MARIE WIEDRICH, MT is a Massage Therapist healthcare provider located in CANTON, Georgia. NPI 1831331024 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · CANTON, GA
Registration Details
- NPI Number
- 1831331024
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2009 (17.345854308278 yrs)
- Last Updated
- Apr 2, 2009
- License
-
MT001530 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2920 MARIETTA HWY STE 108CANTON, GA, 301148207Browse GA providers · Browse ZIP 30114
- Phone
- 6788807346
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in CANTON, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. IRENE MEILLER | — | 1750749420 |
| MISS LAUREN AMANDA D'ERRICO | LMT | 1467814905 |
| RICHARD MICHAEL CARTER | — | 1083385587 |
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.