Individual provider · Type 1 NPI
Benigno Antonio Olivares, LMT
Massage Therapist · Fort Gordon, GA
NPI number
1801719661
Active
Practice location
29607 Barnes Ave
Fort Gordon, GA 30905
Mailing address
3637 Alene Cir
Augusta, GA 30906-4356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT015541 (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.
Another provider at this address
Other massage therapist providers in Fort Gordon
About NPI 1801719661
Benigno Antonio Olivares, LMT's National Provider Identifier is 1801719661, issued on Jul 30, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Gordon, GA. The record was last updated on Jul 30, 2026.