SUSAN BROCK L.M.T.
NPI 1366855132
Massage Therapist in Macon, GA

Active since June 09, 2014
3260 VINEVILLE AVE, MACON, GA 31204(478) 960-6366 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Brock L.m.t. NPPES

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

SUSAN BROCK L.M.T. (NPI 1366855132) is an individual massage therapist in Macon, Georgia, licensed in Georgia (MT001483) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1366855132
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSUSAN BROCKCredential: L.M.T.
Location Address3260 VINEVILLE AVEMacon, GA 31204-2324
Mailing Address3260 Vineville AveMacon, GA 31204-2324 · (478) 960-6366
Sole ProprietorYes
Enumeration DateJune 9, 2014
NPI 1366855132 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 · MT001483
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.
3260 VINEVILLE AVE, Macon, GA 31204

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 Susan Brock's NPI number?

The NPI number for Susan Brock is 1366855132. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Susan Brock located?

Susan Brock practices at 3260 Vineville Ave, Macon, GA 31204. The listed phone number is (478) 960-6366.

What is Susan Brock'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 Susan Brock was last updated on June 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.