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MDJ MASSAGE LLC
NPI 1649897786
Massage Therapist in Valdosta, GA

Active since July 05, 2020
4017 GREY OAK DR, VALDOSTA, GA 31605(229) 262-8008(229) 232-4743 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2020, Jul 23, 2020, Jul 5, 2020 (3 updates tracked since 2020).

About Mdj Massage Llc NPPES

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

MDJ MASSAGE LLC (NPI 1649897786) is a healthcare organization registered as a massage therapist in Valdosta, Georgia and active in the NPI registry since July 2020. The organization lists Maryellyn Noriega, Owner/licensed Massage Therapist, as its authorized official.

NPPES Registry Identity

NPI1649897786
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameMDJ MASSAGE LLC
Location Address4017 GREY OAK DRValdosta, GA 31605-5865
Mailing Address4017 Grey Oak DrValdosta, GA 31605-5865 · (229) 262-8008
Phone(229) 262-8008
Fax(229) 232-4743
Organization SubpartNo
Authorized OfficialMaryellyn NoriegaOwner/licensed Massage Therapist · (229) 262-8008
Enumeration DateJuly 5, 2020
Last NPPES UpdateAugust 6, 20203 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
✔ NPI 1649897786 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
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.

4017 GREY OAK DR, Valdosta, GA 31605
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mdj Massage LLC's NPI number?

The NPI number for Mdj Massage LLC is 1649897786. It was assigned to this organization in the NPPES registry on July 5, 2020.

Where is Mdj Massage LLC located?

Mdj Massage LLC is located at 4017 Grey Oak Dr, Valdosta, GA 31605. The listed phone number is (229) 262-8008.

What is Mdj Massage LLC'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 Mdj Massage LLC was last updated on August 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.