KEISHA NICOLE MCCLURE LMT
NPI 1174487219
Massage Therapist in Marietta, GA

Active since December 12, 2025
3625 DALLAS HWY SW STE 840, MARIETTA, GA 30064(678) 571-1203 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Keisha Nicole Mcclure Lmt NPPES

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

KEISHA NICOLE MCCLURE LMT (NPI 1174487219) is an individual massage therapist in Marietta, Georgia, licensed in Georgia (MT012547) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1174487219
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKEISHA NICOLE MCCLURECredential: LMT
Location Address3625 DALLAS HWY SW STE 840Marietta, GA 30064-5924
Mailing Address3625 Dallas Hwy Sw Ste 840Marietta, GA 30064-5924 · (678) 571-1203
Sole ProprietorYes
Enumeration DateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
NPI 1174487219 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 · MT012547
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.

3625 DALLAS HWY SW STE 840, Marietta, GA 30064

Other Providers at the Same Location NPPES

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

Chiropractor
3625 DALLAS HWY SW STE 840
MARIETTA, GA 30064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174487219, enumerated as an "individual" on December 12, 2025.

The provider is located at 3625 DALLAS HWY SW STE 840 MARIETTA, GA 30064 and the phone number is (678) 571-1203.

Massage Therapist with taxonomy code 225700000X.