Keisha Nicole McClure, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT012547 Issued in GA

Practice address

3625 Dallas Hwy SW Ste 840
Marietta, GA 30064-5924

Phone

(678) 571-1203

NPI assigned

Dec 12, 2025

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 100 Percent Chiropractic Foster LLC

  • Chiropractor
  • Marietta, GA
  • NPI 1295384584
  NPD

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1174487219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 DALLAS HWY SW STE 840",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645924",
            "telephone_number": "678-571-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 DALLAS HWY SW STE 840",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645924",
            "telephone_number": "678-571-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "KEISHA",
        "middle_name": "NICOLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT012547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Stuart McClellan III
• Robert J. McClellan, OT
• Jana Lee McClendon, RPH
• Amy Lynn McCloskey, NP
• Catherine Clay McClure, M.D., MPH
• Kira McClure
• Aiyana McCollum
• Catherine McCollum, M.ED, LPC, NCC
• Tyania Belle McConnell, LCSW
• Elizabeth McCord, PHARMD

• Massage Therapist in Marietta, GA
• Providers in Marietta, 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 12, 2025; 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.