TAMATHA DALE WILLIS C-MMP
NPI 1447105291
Massage Therapist in Woodstock, GA

Active since February 26, 2026
102 MIRRAMONT LAKE DR, WOODSTOCK, GA 30189(678) 492-9600 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tamatha Dale Willis C-mmp NPPES

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

TAMATHA DALE WILLIS C-MMP (NPI 1447105291) is an individual massage therapist in Woodstock, Georgia, licensed in Georgia (MT007252) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1447105291
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameTAMATHA DALE WILLISCredential: C-MMP
Location Address102 MIRRAMONT LAKE DRWoodstock, GA 30189-8213
Mailing Address109 Gopher CtWaleska, GA 30183-4303 · (678) 492-9600 · Fax (678) 492-9600
Sole ProprietorYes
Enumeration DateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1447105291 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 · MT007252
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.
102 MIRRAMONT LAKE DR, Woodstock, GA 30189

Other Providers at the Same Location NPPES

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

Dietitian, Registered
102 MIRRAMONT LAKE DR
WOODSTOCK, GA 30189

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 Tamatha Willis's NPI number?

The NPI number for Tamatha Willis is 1447105291. It was assigned to this individual provider in the NPPES registry on February 26, 2026.

Where is Tamatha Willis located?

Tamatha Willis practices at 102 Mirramont Lake Dr, Woodstock, GA 30189. The listed phone number is (678) 492-9600.

What is Tamatha Willis'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 Tamatha Willis was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.