Mack, Trenton Demetrius

Mack, Trenton Demetrius is an individual health care provider with primary practice located at 1953 Crestmoore Dr , Decatur GA 30032-4909. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Mack, Trenton Demetrius can be contacted via phone (770) 883-5839.

Contact Information

Primary practice address
1953 Crestmoore Dr Decatur GA 30032-4909
Phone: (770) 883-5839
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT012952 Georgia

Profile Details

NPI number 1790374338
LBN Legal business name Mack, Trenton Demetrius
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2021
Last updated Jan 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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