Individual provider · Type 1 NPI
Jamaica Bionka Mattox
Massage Therapist · Marietta, GA
NPI number
1629923222
Active
Practice location
2993 Sandy Plains Rd Ste 225
Marietta, GA 30066-4695
Fax (740) 487-2232
Mailing address
2556 Fairlawn Downs NW
Kennesaw, GA 30144-6181
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT014132 (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 1629923222
Jamaica Bionka Mattox's National Provider Identifier is 1629923222, issued on Feb 28, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Marietta, GA. The record was last updated on Feb 28, 2026.