Provider Demographics
NPI:1346479409
Name:ARYEE, MARIA (LMT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:ARYEE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:ARYEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:7469 MISTYDAWN DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-4331
Mailing Address - Country:US
Mailing Address - Phone:770-964-8521
Mailing Address - Fax:770-774-1147
Practice Address - Street 1:6005 LYNMARK WAY
Practice Address - Street 2:SUITE 114
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-4395
Practice Address - Country:US
Practice Address - Phone:770-783-5211
Practice Address - Fax:770-774-1147
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT000812173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist