Individual provider · Type 1 NPI
Andrew Gracen
Massage Therapist · Atlanta, GA
NPI number
1619782802
Active
Practice location
3133 Maple Dr NE
Atlanta, GA 30305-2505
Mailing address
5480 Willow Point Pkwy
Marietta, GA 30068-1834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 007120 (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 1619782802
Andrew Gracen's National Provider Identifier is 1619782802, issued on Feb 12, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Atlanta, GA. The record was last updated on Feb 12, 2025.