Active NPI
Swedish Dreams Massage Therapy Clinic
- Reflexologist
- Fairburn, GA
National Provider Identifier
1053555482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- MT002411
- Legal business name
- SWEDISH DREAMS MASSAGE THERAPY CLINIC
- Practice address
- 6015 Lynmark Way
Suite 114
Fairburn, GA 30213-4391 - Phone
- (770) 774-3545
- Fax
- (770) 774-3546
- NPI assigned
- Apr 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Muriel Evans, CMT
- Title
- Manager
- Phone
- (770) 774-3545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | MT002411 | GA | Primary |
Addresses
Primary practice location
6015 Lynmark Way
Suite 114
Fairburn, GA 30213-4391
Mailing address
6015 Lynmark Way
Suite 114
Fairburn, GA 30213-4391
Phone (770) 774-3545
National Provider Directory
National Provider Directory- Tax ID family
- Swedish Dreams Massage Therapy Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Reflexologist
- Fairburn, GA
- NPI 1588894356
Locations
6015 Lynmark Way
Ste 114
Fairburn, GA 30213
Phone (770) 774-3545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240963200000",
"number": "1053555482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 LYNMARK WAY",
"address_2": "SUITE 114",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302134391",
"telephone_number": "770-774-3545",
"fax_number": "770-774-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6015 LYNMARK WAY",
"address_2": "SUITE 114",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302134391",
"telephone_number": "770-774-3545",
"fax_number": "770-774-3546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEDISH DREAMS MASSAGE THERAPY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-29",
"last_updated": "2009-04-29",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "MURIEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "770-774-3545",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CMT"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Reflexologist",
"state": "GA",
"license": "MT002411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.