DEBRA MACK
NPI 1578430757
Massage Therapist in Marietta, GA
- Individual
- Massage Therapist
About DEBRA MACK
This page provides the complete NPI Profile along with additional information for Debra Mack, a provider established in Marietta, Georgia operating as a Massage Therapist. The healthcare provider is registered in the NPI registry with number 1578430757 assigned on October 2025. The practitioner's primary taxonomy code is 225700000X with license number MT-008754 (GA). The provider is registered as an individual and their NPI record was last updated one year ago.
- NPI
- 1578430757 Verify this NPI
- Provider Name
- DEBRA MACK
- Gender
- Entity Type
- Individual
- Location Address
- 1715 WINDCLIFF DR SE MARIETTA, GA 30067
- Location Phone
- (770) 873-4405
- Mailing Address
- 1715 WINDCLIFF DR SE MARIETTA, GA 30067
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-21-2025
- Last Update Date
- 10-21-2025
- Code Navigator
Location Map
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.
- MT-008754
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578430757, enumerated as an "individual" on October 21, 2025.
The provider is located at 1715 WINDCLIFF DR SE MARIETTA, GA 30067 and the phone number is (770) 873-4405.
Massage Therapist with taxonomy code 225700000X.
