1. Home
  2. Directory
  3. Georgia
  4. Douglasville
  5. Massage Therapist
  6. NPI Profile

KATISHA YOLANDA BRIMMAGE LMT
NPI 1154003200
Massage Therapist in Douglasville, GA

Active since August 07, 2023
3421 W STEWARTS MILL ROAD 12D, DOUGLASVILLE, GA 30135, DOUGLASVILLE, GA 30135(678) 516-4279 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katisha Yolanda Brimmage Lmt NPPES

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

KATISHA YOLANDA BRIMMAGE LMT (NPI 1154003200) is an individual massage therapist in Douglasville, Georgia, licensed in Georgia (MT014193) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1154003200
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKATISHA YOLANDA BRIMMAGECredential: LMT
Location Address3421 W STEWARTS MILL ROAD 12D, DOUGLASVILLE, GA 30135Douglasville, GA 30135
Mailing Address3421 W Stewarts Mill Road 12d, Douglasville, Ga 30135Douglasville, GA 30135 · (678) 516-4279
Phone(678) 516-4279
Sole ProprietorYes
Enumeration DateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1154003200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in GA · MT014193
Definition
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.
3421 W STEWARTS MILL ROAD 12D, Douglasville, GA 30135
Open in Google Maps ↗

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 Katisha Brimmage's NPI number?

The NPI number for Katisha Brimmage is 1154003200. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Katisha Brimmage located?

Katisha Brimmage practices at 3421 W Stewarts Mill Road 12D Douglasville, Ga 30135, Douglasville, GA 30135. The listed phone number is (678) 516-4279.

What is Katisha Brimmage's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Katisha Brimmage was last updated on August 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.