ROBIN AVERY LMT
NPI 1407385545
Massage Therapist in Kennesaw, GA

Active since June 11, 2017
4116 CRIPPLE CREEK WAY NW, KENNESAW, GA 30144(404) 977-9551 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 11, 2017 (2 updates tracked since 2017).

  • Individual
  • Female
  • Massage Therapist

About ROBIN AVERY

This page provides the complete NPI Profile along with additional information for Robin Avery, a provider established in Kennesaw, Georgia with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1407385545 assigned on June 2017. The practitioner's primary taxonomy code is 225700000X with license number MT010918 (GA). The provider is registered as an individual and her NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1407385545 Verify this NPI
Provider Name
ROBIN AVERY LMT
Gender
Female
Entity Type
Individual
Location Address
4116 CRIPPLE CREEK WAY NW KENNESAW, GA 30144
Location Phone
(404) 977-9551
Mailing Address
4116 CRIPPLE CREEK WAY NW KENNESAW, GA 30144
Mailing Phone
(404) 977-9551
Is Sole Proprietor?
Yes
Enumeration Date
06-11-2017
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
MT010918
License State
GA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407385545, enumerated as an "individual" on June 11, 2017.

The provider is located at 4116 CRIPPLE CREEK WAY NW KENNESAW, GA 30144 and the phone number is (404) 977-9551.

Massage Therapist with taxonomy code 225700000X.