Georgia Manual Therapy Clinic

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT004335 Issued in GA

Legal business name

GEORGIA MANUAL THERAPY CLINIC

Practice address

114 Amelia Dr
Byron, GA 31008-3503

Phone

(478) 953-0938

Fax

(478) 918-0253

NPI assigned

Apr 19, 2017

Last updated

Apr 19, 2017By 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. Torya L Harris, LMT, COTA/LNPI 1912359670

Title

Owner

Phone

(478) 284-8151

Specialties & licenses 1

Addresses

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.

• Torya Lache' Harris, LMT

  • Massage Therapist
  • Warner Robins, GA
  • NPI 1912359670
  NPD (past) Authorized official

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1912431685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 AMELIA DR",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310083503",
            "telephone_number": "478-953-0938",
            "fax_number": "478-918-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 AMELIA DR",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310083503",
            "telephone_number": "478-953-0938",
            "fax_number": "478-918-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA MANUAL THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TORYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-284-8151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT, COTA/L"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT004335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Byron, GA
• Providers in Byron, 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 19, 2017; 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.