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MYSTIC MASSAGE
NPI 1003078387
Specialist in Atlanta, GA

Active since June 27, 2008
8725 ROSWELL RD, ATLANTA, GA 30350(404) 914-1822 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mystic Massage NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYSTIC MASSAGE (NPI 1003078387) is a healthcare organization registered as a specialist in Atlanta, Georgia and active in the NPI registry since June 2008. The organization lists Anna Lee Goode, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1003078387
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMYSTIC MASSAGE
Location Address8725 ROSWELL RDAtlanta, GA 30350-7533
Mailing Address2408 Summerlake DrAtlanta, GA 30350-3054 · (404) 914-1822
Phone(404) 914-1822
Organization SubpartNo
Authorized OfficialAnna Lee GoodeOwner/operator · (404) 914-1822
Enumeration DateJune 27, 2008
✔ NPI 1003078387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · MT000319
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

8725 ROSWELL RD, Atlanta, GA 30350
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH SAMUEL
Pharmacist
8725 ROSWELL RD
SANDY SPRINGS, GA 30350
Fulton County (770) 640-5956
PUBLIX SUPER MARKETS INC
Pharmacy (Community/Retail Pharmacy)
8725 ROSWELL RD
DUNWOODY, GA 30350
Fulton County (770) 640-5956

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mystic Massage's NPI number?

The NPI number for Mystic Massage is 1003078387. It was assigned to this organization in the NPPES registry on June 27, 2008.

Where is Mystic Massage located?

Mystic Massage is located at 8725 Roswell Rd, Atlanta, GA 30350. The listed phone number is (404) 914-1822.

What is Mystic Massage's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mystic Massage was last updated on June 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.