Individual provider · Type 1 NPI

Lisa Rose Massicotte, LMT

Massage Therapist · Decatur, GA

NPI number 1508725193 Active

Practice location

2836 Lavista Rd Ste D
Decatur, GA 30033-1301

Call (404) 438-6154 Map

Mailing address

625 Piedmont Ave NE Unit 1017
Atlanta, GA 30308-6204

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT015344 (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.

3 other providers at this address

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About NPI 1508725193

Lisa Rose Massicotte, LMT's National Provider Identifier is 1508725193, issued on Jan 19, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Decatur, GA. The record was last updated on Jan 19, 2026.