Jennifer Anthony, LMT
Individual provider Active NPI Massage Therapist · Snellville, GA
NPI 1831548833 · NPPES record last updated Jun 9, 2016
Key facts
- NPI
- 1831548833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT-003762 (GA)
- Practice address
- 2777 Olde Gate CT
Snellville, GA 30078-2015 - Phone
- (678) 575-0769
- NPI assigned
- Jun 9, 2016
- 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 |
|---|---|---|---|
| MT-003762 | GA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-003762 | GA | Yes |
Addresses
Primary practice location
2777 Olde Gate CT
Snellville, GA 30078-2015
Mailing address
2777 Olde Gate CT
Snellville, GA 30078-2015
Phone (678) 575-0769
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- Ronald E Anglade
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- Mark C Ankrom
- Sylvestina Annan
- Thelma Antoine
- Anu Glo Med Spa, LLC.
- Gertrude N. Anyakwo
- Kelechukwu C Anyanwu
- Apex Eyecare, LLC
All providers in Snellville, GA · Massage Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2016. 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.