KATISHA YOLANDA BRIMMAGE LMT NPI 1154003200

NPI Information

  • NPI: 1154003200
  • Provider Name: KATISHA YOLANDA BRIMMAGE, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 3421 W STEWARTS MILL ROAD 12D
    DOUGLASVILLE, GA 30135
    DOUGLASVILLE, GA
    ZIP 30135
  • Phone: (678) 516-4279

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NPI Details

Katisha Yolanda Brimmage, LMT is a massage therapist in Douglasville, 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. Katisha Yolanda Brimmage, LMT NPI is 1154003200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3421 W STEWARTS MILL ROAD 12D
DOUGLASVILLE, GA 30135
DOUGLASVILLE, GA
ZIP 30135
Phone: (678) 516-4279

The enumeration date for this NPI number is 8/7/2023 and was last updated on 8/7/2023.

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 TherapistMT014193GEORGIAYes

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: 3/30/2025

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