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WILLIAM MARCUS GORDON
NPI 1407610157
Massage Therapist in Hiram, GA

Active since February 12, 2024

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About William Marcus Gordon NPPES

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

WILLIAM MARCUS GORDON (NPI 1407610157) is an individual massage therapist provider in Hiram, Georgia, licensed in Georgia (MT014097) and active in the NPI registry since February 2024.Information from the official NPPES registry record, last updated February 12, 2024.

NPPES Registry Identity

NPI1407610157
Entity TypeIndividualMale
Provider Legal NameWILLIAM MARCUS GORDON
Location Address96 WREN WALKHiram, GA 30141-5714
Mailing Address1575 Ridenour Pkwy Nw Apt 2131Kennesaw, GA 30152-4552 · (815) 391-1809
Phone(770) 948-8000
Sole ProprietorYes
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1407610157 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Massage Therapist

Taxonomy 225700000X · Respiratory, Developmental, Rehabilitative and Restorative Service Providers

✔ Licensed in GA · MT014097

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.

96 WREN WALK, Hiram, GA 30141
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Frequently Asked Questions

What is William Gordon's NPI number?

The NPI number assigned to this healthcare provider is 1407610157, enumerated as an "individual" on February 12, 2024.

Where is the provider located?

The provider is located at 96 WREN WALK HIRAM, GA 30141 and the phone number is (770) 948-8000.

What is the provider's specialty?

Massage Therapist with taxonomy code 225700000X.