Organization · Type 2 NPI
Southeastern Neuromuscular Massage Therapy, Inc.
Massage Therapist · Douglas, GA
NPI number
1821345356
Active
Practice location
112 Madison Ave N
Douglas, GA 31533-4604
Fax (912) 383-4934
Mailing address
112 N. Madison Ave.
Douglas, GA 31533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Massage Therapist Primary | 225700000X | MT003853 (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.
About NPI 1821345356
Southeastern Neuromuscular Massage Therapy, Inc.'s National Provider Identifier is 1821345356, issued on Aug 15, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Douglas, GA. The record was last updated on Sep 3, 2013.