Individual provider · Type 1 NPI
Tamara Aundrea Green, MT
Massage Therapist · Riverdale, GA
NPI number
1306450713
Active
Practice location
8249 Creekline Ct
Riverdale, GA 30274-4336
Mailing address
PO Box 162782
Atlanta, GA 30321-2782
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT010347 (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 1306450713
Tamara Aundrea Green, MT's National Provider Identifier is 1306450713, issued on Sep 2, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Riverdale, GA. The record was last updated on Sep 2, 2020.