Individual provider · Type 1 NPI

Trenton Demetrius Mack, LMT

Massage Therapist · Decatur, GA

NPI number 1790374338 Active

Practice location

1953 Crestmoore Dr
Decatur, GA 30032-4909

Call (770) 883-5839 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT012952 (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 1790374338

Trenton Demetrius Mack, LMT's National Provider Identifier is 1790374338, issued on Jan 17, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Decatur, GA. The record was last updated on Jan 17, 2021.