Individual provider · Type 1 NPI

Derick Wade Cunningham, RN, LMT

Massage Therapist · Atlanta, GA

NPI number 1942594437 Active

Practice location

1708 Peachtree St NW Ste 101
Atlanta, GA 30309-2415

Mailing address

2354 Littlebrooke Dr
Dunwoody, GA 30338-3157

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT0011476 (GA)
Registered Nurse 163W00000XRN712951 (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 1942594437

Derick Wade Cunningham, RN, LMT's National Provider Identifier is 1942594437, issued on Jun 2, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Atlanta, GA. The record was last updated on Mar 30, 2026.