Individual provider · Type 1 NPI
Stormy Lovie Davenport, MASSAGE THERAPIST
Massage Therapist · Austell, GA
NPI number
1790602308
Active
Practice location
923 Pine Oak Trl
Austell, GA 30168-7019
Mailing address
3763 Olson Dr
Austell, GA 30106-1776
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 013693 (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.
Other massage therapist providers in Austell
About NPI 1790602308
Stormy Lovie Davenport, MASSAGE THERAPIST's National Provider Identifier is 1790602308, issued on Jul 3, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Austell, GA. The record was last updated on Jul 3, 2026.