Advanced Massage Network, LLC.

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

MT003953 Issued in GA

Legal business name

ADVANCED MASSAGE NETWORK, LLC.

Doing business as

Your medical massage resource

Practice address

1170 14TH PL NE
Atlanta, GA 30309-3505

Phone

(678) 232-6433

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Alexis Edouard Servy, NCTMB, CMT, LMT

Title

Ceo/Owner

Phone

(706) 951-5970

Specialties & licenses 3

Addresses

Other names 1

• Your medical massage resource Doing business as

Locations

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1770857658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 14TH PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093505",
            "telephone_number": "404-482-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 14TH PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093505",
            "telephone_number": "678-232-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MASSAGE NETWORK, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "SERVY",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "EDOUARD",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "706-951-5970",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NCTMB, CMT, LMT"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": "GA",
            "license": "MT006682",
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": "SC",
            "license": "5872",
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": "GA",
            "license": "MT003953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your medical massage resource",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Reflexologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Reflexologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.