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GLENDA IVEY MASSAGE THERAPIST NPI 1922738160


NPI Information

NPI: 1922738160
Provider Name: GLENDA IVEY, MASSAGE THERAPIST
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
299 COOPER RD STE B
LOGANVILLE, GA
ZIP 30052
Phone: (706) 250-1769
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Glenda Ivey, MASSAGE THERAPIST is a massage therapist in Loganville, GA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Glenda Ivey, MASSAGE THERAPIST NPI is 1922738160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

299 COOPER RD STE B
LOGANVILLE, GA
ZIP 30052-579
Phone: (706) 250-1769

The enumeration date for this NPI number is 6/11/2022 and was last updated on 6/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMT005444GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.