Individual provider · Type 1 NPI

William Marcus Gordon

Massage Therapist · Hiram, GA

NPI number 1407610157 Active

Practice location

96 Wren Walk
Hiram, GA 30141-5714

Call (770) 948-8000 Map

Mailing address

1575 Ridenour Pkwy NW Apt 2131
Kennesaw, GA 30152-4552

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT014097 (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 1407610157

William Marcus Gordon's National Provider Identifier is 1407610157, issued on Feb 12, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hiram, GA. The record was last updated on Feb 12, 2024.