Katria Fuller, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT011036 Issued in GA

Practice address

1800 Roswell Rd Ste 1050
Marietta, GA 30062-3982

Phone

(678) 883-5668

NPI assigned

Mar 23, 2020

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

Practice roles

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.

• Life Moves Manual Therapies, LLC

  • Clinic/Center
  • Marietta, GA
  • NPI 1699259929
  NPD (past)

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1356978225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ROSWELL RD STE 1050",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623982",
            "telephone_number": "678-883-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ROSWELL RD STE 1050",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623982",
            "telephone_number": "678-883-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "KATRIA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT011036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Victoria Fuentes Salichs, MD
• Temesgen Fufa, PHARMD
• Fulfillment Chiropractic, LLC
• Averie Caroline Fuller
• Emmett Frazer Fuller, MA, LPC
• Andrew Fulton
• James A. Funderburk, M.A., LPC, NCC
• N. Roel Fung-a-Wing, P.T.
• Elisheva Ende Funk, LCSW
• Joan Rosen Funk, LCSW, PHD

• 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 Mar 23, 2020; 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.