SHELISA THORNTON NPI 1134039514

NPI Information

  • NPI: 1134039514
  • Provider Name: SHELISA THORNTON
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 4500 HUGH HOWELL RD STE 470
    TUCKER, GA
    ZIP 30084
  • Phone: (678) 637-0960

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NPI Details

Shelisa Thornton is a massage therapist in Tucker, 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. Shelisa Thornton NPI is 1134039514. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4500 HUGH HOWELL RD STE 470
TUCKER, GA
ZIP 30084-722
Phone: (678) 637-0960

The enumeration date for this NPI number is 9/9/2026 and was last updated on 9/9/2026.

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 TherapistMT010870GEORGIAYes

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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