Individual provider · Type 1 NPI

Oscar Gordon Jr.

Massage Therapist · Lilburn, GA

NPI number 1497536387 Active

Practice location

2457 Dakota Trl SW
Lilburn, GA 30047-5772

Call (678) 531-1232 Map

Mailing address

4426 Hugh Howell Rd # 117
Tucker, GA 30084-4918

Other practice locations

  • 5370 Stone Mountain Hwy, Stone Mountain, GA 30087-3581 · (770) 498-7879

Specialties and licenses

TaxonomyCodeLicense
Health & Wellness Coach 171400000XNone listed
Massage Therapist Primary 225700000XMT009326 (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 1497536387

Oscar Gordon Jr.'s National Provider Identifier is 1497536387, issued on Oct 9, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lilburn, GA. The record was last updated on Oct 9, 2023.