Individual provider · Type 1 NPI

Diana Charles, LMT, NCTMB

Massage Therapist · Decatur, GA

NPI number 1639492382 Active

Practice location

1799 Clairmont Rd
Decatur, GA 30033-4005

Call (404) 432-2618 Map

Mailing address

606 N Crossing Way
Decatur, GA 30033-4144

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X006193 (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 1639492382

Diana Charles, LMT, NCTMB's National Provider Identifier is 1639492382, issued on Mar 9, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Decatur, GA. The record was last updated on Mar 9, 2010.