Individual provider · Type 1 NPI
Sonja Renee Gibson, MT
Massage Therapist · Fayetteville, GA
NPI number
1013529957
Active
Practice location
275 Glynn St S
Fayetteville, GA 30214-2015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 00008687 (GA) |
Massage Therapist: 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.
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About NPI 1013529957
Sonja Renee Gibson, MT's National Provider Identifier is 1013529957, issued on Aug 21, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fayetteville, GA. The record was last updated on Aug 21, 2020.