Individual provider · Type 1 NPI
Stanasha Toccoa Goodwin, MT
Massage Therapist · Atlanta, GA
NPI number
1841909876
Active
Practice location
7527 Roswell Rd # 566561
Atlanta, GA 30350-4838
Fax (404) 981-3603
Other practice locations
- 965 Oak St SW, Atlanta, GA 30310-1805 · (404) 438-2367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT014308 (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 1841909876
Stanasha Toccoa Goodwin, MT's National Provider Identifier is 1841909876, issued on Nov 17, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Atlanta, GA. The record was last updated on Nov 17, 2022.