MDJ MASSAGE LLC NPI 1649897786

NPI Information

  • NPI: 1649897786
  • Provider Name: MDJ MASSAGE LLC
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 4017 GREY OAK DR
    VALDOSTA, GA
    ZIP 31605
  • Phone: (229) 262-8008

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NPI Details

MDJ MASSAGE LLC is a massage therapist in Valdosta, 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. MDJ MASSAGE LLC NPI is 1649897786. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4017 GREY OAK DR
VALDOSTA, GA
ZIP 31605-865
Phone: (229) 262-8008
Fax: (229) 232-4743

The provider's authorized official is Maryellyn Noriega .
The authorized official title is Owner/licensed Massage Therapist and has the following contact phone number (229) 262-8008.

The enumeration date for this NPI number is 7/5/2020 and was last updated on 8/6/2020.

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 TherapistYes

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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