Misty Barnes
Individual provider Active NPI Massage Therapist · Tate, GA
NPI 1497230536 · NPPES record last updated Sep 25, 2018
Key facts
- NPI
- 1497230536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT009408 (GA)
- Practice address
- 89 Clinic Rd
Tate, GA 30177-2506 - Phone
- (770) 894-9744
- NPI assigned
- Sep 25, 2018
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT009408 | GA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT009408 | GA | Yes |
Addresses
Primary practice location
89 Clinic Rd
Tate, GA 30177-2506
Mailing address
887 Worley Crossroads
Jasper, GA 30143-6348
Phone (770) 894-9744
Other providers in Tate, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2018. 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.