Velita Addison
Individual provider Active NPI Massage Therapist · Duluth, GA
NPI 1992586077 · NPPES record last updated Oct 13, 2023
Key facts
- NPI
- 1992586077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT010422 (GA)
- Practice address
- 4855 River Green Pkwy Ste 610
Duluth, GA 30096-8337 - Phone
- (470) 323-6020
- NPI assigned
- Oct 13, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| MT010422 | GA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT010422 | GA | Yes |
Addresses
Primary practice location
4855 River Green Pkwy Ste 610
Duluth, GA 30096-8337
Mailing address
2343 Berkeley Creek CT
Duluth, GA 30096-6847
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2023. 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.