IndividualActive
Adele Ngo Banack
NPI 1972260735 · Massage Therapist · Lawrenceville, GA
Provider details
- NPI number
- 1972260735
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- MT006744 (GA)
Practice location
1755 N Brown Rd Ste 200
Lawrenceville, GA 30043-2018
Phone: (678) 851-9972
Mailing address
1755 N Brown Rd Ste 200
Lawrenceville, GA 30043-2018
Registry dates
- Enumerated
- 2021-11-29
- Last updated
- 2021-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.