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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MT000319 (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.