Individual provider · Type 1 NPI
S Domingo, LMT
Massage Therapist · Tucker, GA
NPI number
1487977732
Active
Practice location
4112 Hughes Lea
Tucker, GA 30084-1101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT005793 (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 1487977732
S Domingo, LMT's National Provider Identifier is 1487977732, issued on Mar 1, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tucker, GA. The record was last updated on Mar 1, 2010.