GILBERTO PENA LMT NPI 1093100133

NPI Information

  • NPI: 1093100133
  • Provider Name: GILBERTO PENA, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 4994 WILLOW CREEK DR
    WOODSTOCK, GA
    ZIP 30188
  • Phone: (678) 848-5020

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NPI Details

Gilberto Pena, LMT is a massage therapist in Woodstock, GA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Gilberto Pena, LMT NPI is 1093100133. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4994 WILLOW CREEK DR
WOODSTOCK, GA
ZIP 30188-375
Phone: (678) 848-5020

The enumeration date for this NPI number is 4/6/2015 and was last updated on 4/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMT009410GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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