Individual provider · Type 1 NPI
Carolyn Lavaris Wesley, L.M.T.
Massage Therapist · Hapeville, GA
NPI number
1760632541
Active
Practice location
622 N Gordon Cir
Hapeville, GA 30354-1055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT004059 (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 1760632541
Carolyn Lavaris Wesley, L.M.T.'s National Provider Identifier is 1760632541, issued on Sep 29, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hapeville, GA. The record was last updated on Sep 29, 2008.