Seretta Arstacia Crutcher, MT
Individual provider Active NPI Massage Therapist · Lithia Springs, GA
NPI 1902045909 · NPPES record last updated Feb 13, 2009
Key facts
- NPI
- 1902045909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT004500 (GA)
- Practice address
- 870 Crestmark Dr
Suite 103
Lithia Springs, GA 30122-2665 - Phone
- (404) 428-9043
- NPI assigned
- Feb 13, 2009
- 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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT004500 | GA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT004500 | GA | Yes |
Addresses
Primary practice location
870 Crestmark Dr
Suite 103
Lithia Springs, GA 30122-2665
Mailing address
PO Box 5133
Douglasville, GA 30154-0003
Phone (404) 428-9043
Other providers in Lithia Springs, GA
- Comfort Living365Home Health Care Limited Liability Company
- Comforter'S Home Healthcare Inc.
- Comprehensive Spine & Pain LLC
- Coping Place LLC
- Shika Crane
- Suzanne Teresa Csorna
- Erica D Curry
- Cheryl Lynn Cushman
- Matthew Lawrance Dames
- Cameron Paul Daniel
All providers in Lithia Springs, 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 Feb 13, 2009. 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.