Suzanne Phillips, LMT Cmldt, LMT, CMLDT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT013998 Issued in GA

Practice address

8697 Hospital Dr Ste 202
Douglasville, GA 30134-2220

Phone

(404) 402-9985

NPI assigned

Dec 13, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1083482632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8228 ORKNEY WAY",
            "city": "WINSTON",
            "state": "GA",
            "postal_code": "301871312",
            "telephone_number": "404-202-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8697 HOSPITAL DR STE 202",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342220",
            "telephone_number": "404-402-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS, LMT CMLDT",
        "first_name": "SUZANNE",
        "name_prefix": "Miss",
        "credential": "LMT, CMLDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT013998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evans Paul Peters, D.C
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• Natalie Phuong Pham, AGACNP-BC
• PHD Transport LLC
• Aeryn Mackensi Phillips, PHARMD
• Michelle Marie Phillips, LMT
• Ralesia Phillips
• Phoenix Wellness Group, LLC
• Phoenixlaboratory Services LLC
• Physicans Pain Clinic of Douglasville PC

• Massage Therapist in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.