Organization Active NPI

Swedish Dreams Massage Therapy Clinic

  • Reflexologist
  • Fairburn, GA
National Provider Identifier
1053555482
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
MT002411 Issued in GA
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

Updated by the provider on Apr 29, 2009

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)CodeLicenseStatePrimary
ReflexologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.