Individual provider · Type 1 NPI

Juanita Ross, LMT

Massage Therapist · Conyers, GA

NPI number 1245069772 Active

Practice location

1807 Over Lake Dr SE Ste C
Conyers, GA 30013-1765

Call (678) 216-8913 Map

Mailing address

285 Wisteria Way
Covington, GA 30016-7249

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT013707 (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 1245069772

Juanita Ross, LMT's National Provider Identifier is 1245069772, issued on Aug 1, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Conyers, GA. The record was last updated on Nov 13, 2025.