Individual provider · Type 1 NPI

Samantha Elizabeth Wilson, MASSAGE THERAPIST

Massage Therapist · Tucker, GA

NPI number 1295170959 Active

Practice location

2185 Northlake Pkwy Ste 100
Tucker, GA 30084-4100

Call (770) 493-6360 Map

Fax (770) 493-6350

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT004816 (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 1295170959

Samantha Elizabeth Wilson, MASSAGE THERAPIST's National Provider Identifier is 1295170959, issued on May 7, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tucker, GA. The record was last updated on May 7, 2013.