| Taquanta Mashae Pearson, | |
|
123 Aristocratic Way, Locust Grove, GA 30248-2285 | |
| (404) 273-7604 | |
| Not Available |
| Full Name | Taquanta Mashae Pearson |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 123 Aristocratic Way, Locust Grove, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023681228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT010416 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Taquanta Mashae Pearson, 123 Aristocratic Way, Locust Grove, GA 30248-2285 Ph: (404) 273-7604 | Taquanta Mashae Pearson, 123 Aristocratic Way, Locust Grove, GA 30248-2285 Ph: (404) 273-7604 |
Bria Janae Truesdale, LMT, LE Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 Canberra Way, Locust Grove, GA 30248 Phone: 702-336-4432 | |
Ms. Andrea Joy Murdock, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4044 Highway 42, Locust Grove, GA 30248 Phone: 404-429-8964 |