Guinevere Theresa Lewis, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT002671 Issued in GA

Practice address

541 Forest Pkwy Ste 14
Forest Park, GA 30297-6110

Phone

(678) 948-9448

NPI assigned

Apr 17, 2024

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

Other names 1

• Guinevere Theresa Lewis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1669226353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 FOREST PKWY STE 14",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 FOREST PKWY STE 14",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976110",
            "telephone_number": "678-948-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GUINEVERE",
        "middle_name": "THERESA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT002671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUINEVERE",
            "last_name": "LEWIS",
            "middle_name": "THERESA",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Thiruvannathapur N Krishnamoorthy, M.D.
• Krol Nine LLC
• Manise Labady-Davis, DDS
• Tina Lee
• Tonya Denise Lee
• Living Hope Residence, LLC
• Daphne M Lofton, PHARMD
• Glory Jean Logan-Brown
• Shweta Navneet Maheshwari, D.O.
• Vinh Mai, RPH

• Massage Therapist in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.