GINA GREEN
NPI 1497209670
Massage Therapist in College Park, GA
Active since August 05, 2016
About Gina Green NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GINA GREEN (NPI 1497209670) is an individual massage therapist in College Park, Georgia, licensed in Georgia (MT009291) and active in the NPI registry since August 2016.
NPPES Registry Identity
NPI1497209670
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameGINA GREEN
Location Address850 ROCK SHOALS CTCollege Park, GA 30349-7332
Mailing Address850 Rock Shoals CtCollege Park, GA 30349-7332 · (404) 994-7727
Phone(404) 994-7727
Sole ProprietorNo
Enumeration DateAugust 5, 2016
Last NPPES UpdateAugust 8, 2016
✔ NPI 1497209670 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 · MT009291
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.
850 ROCK SHOALS CT, College Park, GA 30349
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497209670, enumerated as an "individual" on August 05, 2016.
The provider is located at 850 ROCK SHOALS CT COLLEGE PARK, GA 30349 and the phone number is (404) 994-7727.
Massage Therapist with taxonomy code 225700000X.