Individual provider · Type 1 NPI

Carolyn T. Davis, LMT NCTMB SET

Massage Therapist · Lawrenceville, GA

NPI number 1972826899 Active

Practice location

1130 Hurricane Shoals Rd NE, Suite 1900
Lawrenceville, GA 30043-4851

Mailing address

582 Mackenzie Ct
Dacula, GA 30019-2385

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT001114 (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 1972826899

Carolyn T. Davis, LMT NCTMB SET's National Provider Identifier is 1972826899, issued on Mar 5, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lawrenceville, GA. The record was last updated on Mar 1, 2011.