Individual provider · Type 1 NPI
Tameca Lazell Johnson, LMT, MMP
Massage Therapist · Fayetteville, GA
NPI number
1174777932
Active
Practice location
220 Lanier Ave E
Fayetteville, GA 30214-1604
Mailing address
215 Pebblestump Pt
Peachtree City, GA 30269-1619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT003393 (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.
2 other providers at this address
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About NPI 1174777932
Tameca Lazell Johnson, LMT, MMP's National Provider Identifier is 1174777932, issued on Nov 6, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fayetteville, GA. The record was last updated on Sep 17, 2014.