Casey M Bechtold, LMT, MMT

Individual provider Active NPI Massage Therapist · Cleveland, GA

NPI 1346867249 · NPPES record last updated Jun 26, 2020

Key facts

NPI
1346867249
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
011052 (GA)
Practice address
148 Stone Cliff Trce
Cleveland, GA 30528-5397
Phone
(678) 617-5701
NPI assigned
Jun 26, 2020
Sex
Female
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

LicenseStateTypeSpecialty
011052GAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 011052 GA Yes

Addresses

Primary practice location

148 Stone Cliff Trce
Cleveland, GA 30528-5397

Mailing address

148 Stone Cliff Trce
Cleveland, GA 30528-5397
Phone (678) 617-5701

Other providers in Cleveland, GA

All providers in Cleveland, GA · Massage Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.