BEVERLY WILSON LMT NPI 1720386451

NPI Information

NPI: 1720386451
Provider Name: BEVERLY WILSON, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
700 DALRYMPLE RD
203
ATLANTA, GA
ZIP 30328
Phone: (404) 940-0784
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Beverly Wilson, LMT is a massage therapist in Atlanta, 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. Beverly Wilson, LMT NPI is 1720386451. 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:

700 DALRYMPLE RD
203
ATLANTA, GA
ZIP 30328-414
Phone: (404) 940-0784

The enumeration date for this NPI number is 3/3/2011 and was last updated on 4/14/2015.

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
1	225700000X	Massage Therapist		MT006291	GEORGIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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