Individual provider · Type 1 NPI

Caleb Davis, LMT, PTA

Massage Therapist · Richmond Hill, GA

NPI number 1902643588 Active

Practice location

11258 Ford Ave Ste 7
Richmond Hill, GA 31324-8880

Mailing address

382 Timberland Cir
Richmond Hill, GA 31324-6398

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XPTA004129 (GA)
Massage Therapist Primary 225700000XMT007487 (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 1902643588

Caleb Davis, LMT, PTA's National Provider Identifier is 1902643588, issued on Jul 11, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Richmond Hill, GA. The record was last updated on Jul 11, 2024.