SOMATIC INTEGRATIVE THERAPY NPI 1902214141

NPI Information

  • NPI: 1902214141
  • Provider Name: SOMATIC INTEGRATIVE THERAPY
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 284 HIGHWAY 314
    FAYETTEVILLE, GA
    ZIP 30214
  • Phone: (470) 222-4424

Map and Directions

Get Directions

NPI Details

SOMATIC INTEGRATIVE THERAPY is a massage therapist in Fayetteville, 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. SOMATIC INTEGRATIVE THERAPY NPI is 1902214141. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

284 HIGHWAY 314
FAYETTEVILLE, GA
ZIP 30214-832
Phone: (470) 222-4424

The provider's authorized official is Shandrena Hadjamara Williams .
The authorized official title is Ceo / Founder and has the following contact phone number (470) 222-4424.

The enumeration date for this NPI number is 7/31/2014 and was last updated on 7/31/2014.

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 Therapist007602GEORGIAYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI