Individual provider · Type 1 NPI

Keisha Nicole McClure, LMT

Massage Therapist · Marietta, GA

NPI number 1174487219 Active

Practice location

3625 Dallas Hwy SW Ste 840
Marietta, GA 30064-5924

Call (678) 571-1203 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT012547 (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 1174487219

Keisha Nicole McClure, LMT's National Provider Identifier is 1174487219, issued on Dec 12, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Marietta, GA. The record was last updated on Dec 12, 2025.