ANDRAE BERNARD DUDLEY LMT NPI 1144928326

NPI Information

  • NPI: 1144928326
  • Provider Name: ANDRAE BERNARD DUDLEY, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 135 E. MLK JR DRIVE
    201
    HINESVILLE, GA
    ZIP 31313
  • Phone: (912) 332-1596

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NPI Details

Andrae Bernard Dudley, LMT is a massage therapist in Hinesville, 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. Andrae Bernard Dudley, LMT NPI is 1144928326. 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:

135 E. MLK JR DRIVE
201
HINESVILLE, GA
ZIP 31313
Phone: (912) 332-1596

The enumeration date for this NPI number is 2/17/2023 and was last updated on 2/17/2023.

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 TherapistMT010292GEORGIAYes

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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