Individual provider · Type 1 NPI
John Russell Golden, LMT, MMP
Massage Therapist · Marietta, GA
NPI number
1922445329
Active
Practice location
1900 Leonidas Trl NW
Marietta, GA 30064-1391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT000999 (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 1922445329
John Russell Golden, LMT, MMP's National Provider Identifier is 1922445329, issued on May 27, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Marietta, GA. The record was last updated on May 27, 2013.