Individual provider · Type 1 NPI

Miranda Wade

Massage Therapist · Augusta, GA

NPI number 1780447680 Active

Practice location

3540 Wheeler Rd Ste 314
Augusta, GA 30909-1885

Call (478) 206-7146 Map

Mailing address

PO Box 5326
Augusta, GA 30916-5326

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XNone listed
Massage Therapist Primary 225700000XMT010515 (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 1780447680

Miranda Wade's National Provider Identifier is 1780447680, issued on Feb 2, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Augusta, GA. The record was last updated on Mar 21, 2025.