Organization · Type 2 NPI

Mystic Massage

Specialist · Atlanta, GA

NPI number 1003078387 Active

Practice location

8725 Roswell Rd
Atlanta, GA 30350-7533

Mailing address

2408 Summerlake Dr
Atlanta, GA 30350-3054

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMT000319 (GA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003078387

Mystic Massage's National Provider Identifier is 1003078387, issued on Jun 27, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Atlanta, GA. The record was last updated on Jun 27, 2008.