ADELE MARIE NGO BANACK NPI 1972260735

NPI Information

NPI: 1972260735
Provider Name: ADELE MARIE NGO BANACK
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1755 N BROWN RD STE 200
LAWRENCEVILLE, GA
ZIP 30043
Phone: (678) 851-9972
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Adele Marie Ngo Banack is a massage therapist in Lawrenceville, 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. Adele Marie Ngo Banack NPI is 1972260735. 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:

1755 N BROWN RD STE 200
LAWRENCEVILLE, GA
ZIP 30043-018
Phone: (678) 851-9972

The enumeration date for this NPI number is 11/29/2021 and was last updated on 11/29/2021.

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		MT006744	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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