DOUGLASVILLE THERAPEUTIC MASSAGE INC NPI 1972727915

NPI Information

NPI: 1972727915
Provider Name: DOUGLASVILLE THERAPEUTIC MASSAGE, INC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
4147 N QUAIL DR
DOUGLASVILLE, GA
ZIP 30135
Phone: (404) 402-9985
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DOUGLASVILLE THERAPEUTIC MASSAGE, INC is a massage therapist in Douglasville, 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. DOUGLASVILLE THERAPEUTIC MASSAGE, INC NPI is 1972727915. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4147 N QUAIL DR
DOUGLASVILLE, GA
ZIP 30135-844
Phone: (404) 402-9985
Fax: (770) 489-6961

The provider's authorized official is Mary Lou Ross .
The authorized official title is President and has the following contact phone number (404) 402-9985.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/22/2020.

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
1	225700000X	Massage Therapist		MT000186	GEORGIA	Yes

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

NPI Synchronization or Removal

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