Individual provider · Type 1 NPI

Jenna L. Levy, LMT, NMT

Massage Therapist · Lilburn, GA

NPI number 1790665586 Active

Practice location

912 Killian Hill Rd SW Ste 103
Lilburn, GA 30047-8976

Mailing address

4081 Camaron Way
Snellville, GA 30039-8611

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT002154 (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 1790665586

Jenna L. Levy, LMT, NMT's National Provider Identifier is 1790665586, issued on Sep 3, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lilburn, GA. The record was last updated on Sep 3, 2025.