Individual provider · Type 1 NPI
Gilberto Pena Jr., LMT
Massage Therapist · Woodstock, GA
NPI number
1093100133
Active
Practice location
4994 Willow Creek Dr
Woodstock, GA 30188-4375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT009410 (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 1093100133
Gilberto Pena Jr., LMT's National Provider Identifier is 1093100133, issued on Apr 6, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Woodstock, GA. The record was last updated on Apr 6, 2015.