NPI 1174777932

Tameca Lazell Johnson, LMTMMP

Practitioner Massage Therapist Fayetteville, GA

Practice location

Address: 220 Lanier Ave E, Fayetteville, GA 30214-1604
Phone: (404) 452-9326
Mailing address: 215 Pebblestump PT, Peachtree City, GA 30269-1619

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT003393 (GA)

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Registry record

NPI: 1174777932
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2008
Record last updated: 17 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.