Georgia Therapeutic Massage LLC

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MT000543 Issued in GA

Legal business name

GEORGIA THERAPEUTIC MASSAGE LLC

Practice address

7013 Evans Town Center Blvd
Suite 201
Evans, GA 30809-5117

Phone

(706) 651-0202

Fax

(706) 651-0333

NPI assigned

Jul 29, 2009

Last updated

Jan 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley White, LMTNPI 1033350376

Title

Owner/President

Phone

(706) 651-0202

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley White, NCTMB, LMT

  • Mechanotherapist
  • Evans, GA
  • NPI 1033350376
  NPD (past) Authorized official

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1750512471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 EVANS TOWN CENTER BLVD",
            "address_2": "SUITE 201",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095117",
            "telephone_number": "706-651-0202",
            "fax_number": "706-651-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 EVANS TOWN CENTER BLVD",
            "address_2": "SUITE 201",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095117",
            "telephone_number": "706-651-0202",
            "fax_number": "706-651-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA THERAPEUTIC MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "706-651-0202",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "GA",
            "license": "MT000543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mechanotherapist in Evans, GA
• Providers in Evans, GA by specialty
• Mechanotherapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.