Individual provider · Type 1 NPI

Demitra Rogers, LMT

Massage Therapist · Lawrenceville, GA

NPI number 1306305602 Active

Practice location

860 Duluth Hwy Ste 152
Lawrenceville, GA 30043-5336

Call (678) 886-4759 Map

Fax (678) 886-4759

Mailing address

PO Box 15145
Atlanta, GA 30333-0145

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT011640 (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 1306305602

Demitra Rogers, LMT's National Provider Identifier is 1306305602, issued on Mar 16, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jun 11, 2019.