Alexander Adamczyk
Individual provider Active NPI Massage Therapist · Woodstock, GA
NPI 1144833138 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1144833138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT013193 (GA)
- Practice address
- 4051 Watkins Glen Dr
Woodstock, GA 30189-1420 - Phone
- (404) 456-6069
- NPI assigned
- Aug 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT013193 | GA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT013193 | GA | Yes |
Addresses
Primary practice location
4051 Watkins Glen Dr
Woodstock, GA 30189-1420
Mailing address
4051 Watkins Glen Dr
Woodstock, GA 30189-1420
Phone (404) 456-6069
Other providers in Woodstock, GA
- Accumed Home Health of Georgia LLC
- Amadis Acevedo
- Achieving Wellness Chiropractic Center, P.C.
- Laura Acosta
- Activate Your Health Chiropractic and Wellness Center, LLC.
- Jacqueline Marie Adams
- Jennifer Leigh Adams
- Alicia Adamson Ogletree
- Celeste Grace Adote
- Advanced Behavioral Dimensions
All providers in Woodstock, GA · Massage Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.