Individual provider · Type 1 NPI

Lucas Grant Wakeman, LMT

Massage Therapist · Atlanta, GA

NPI number 1821945619 Active

Practice location

2803 Shallowford Rd NE
Atlanta, GA 30341-5216

Call (770) 903-2603 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT014388 (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 1821945619

Lucas Grant Wakeman, LMT's National Provider Identifier is 1821945619, issued on Mar 11, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Atlanta, GA. The record was last updated on Mar 11, 2026.