Massage Experience of Georgia

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MT000031 Issued in GA

Legal business name

MASSAGE EXPERIENCE OF GEORGIA

Practice address

1874 Piedmont Ave NE
Ste 480D
Atlanta, GA 30324-4869

Phone

(404) 226-3590

NPI assigned

Jun 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Ray Blount, LNMT

Title

Owner

Phone

(404) 226-3590

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1356603542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 PIEDMONT AVE NE",
            "address_2": "STE 480D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244869",
            "telephone_number": "404-226-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 PIEDMONT AVE NE",
            "address_2": "STE 480D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244869",
            "telephone_number": "404-226-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE EXPERIENCE OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-226-3590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "MT000031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Anne Massad, MD
• Christopher Suhail Massad, MD
• Massage by Denise Leslie
• Massage by Denise Leslie Inc.
• Massage Cocoon
• Laura Elaine Pax Massarelli, MD
• Annie Massart, M.D.
• Dania N Masseoud, M.D.
• Susan Massey-Connolly, PSY.D.
• Anthony L Massey, PAAA

• Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.