Provider Demographics
NPI:1215764576
Name:ZEN THERAPEUTICS LLC
Entity type:Organization
Organization Name:ZEN THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT MMP
Authorized Official - Phone:678-755-9522
Mailing Address - Street 1:3350 NORTHLAKE PKWY NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-2204
Mailing Address - Country:US
Mailing Address - Phone:470-836-0489
Mailing Address - Fax:404-636-0617
Practice Address - Street 1:3350 NORTHLAKE PKWY NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-2204
Practice Address - Country:US
Practice Address - Phone:470-836-0489
Practice Address - Fax:404-636-0617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty