Individual provider · Type 1 NPI
Sakari Veda-Jean Nichols, LMT
Massage Therapist · Lilburn, GA
NPI number
1700501079
Active
Practice location
5005 Lawrenceville Hwy NW Ste A
Lilburn, GA 30047-4946
Mailing address
6277 Creekford Dr
Lithonia, GA 30058-7914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT013617 (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 1700501079
Sakari Veda-Jean Nichols, LMT's National Provider Identifier is 1700501079, issued on Oct 10, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lilburn, GA. The record was last updated on Oct 10, 2022.