MS. QIANA L GORDON LMT
NPI 1770865420
Massage Therapist in Ellenwood, GA

Active since September 19, 2011
4376 NORTHWIND DR, ELLENWOOD, GA 30294(678) 886-2203 Get Directions Write a Review

NPPES record last updated: September 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Qiana L Gordon Lmt NPPES

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

MS. QIANA L GORDON LMT (NPI 1770865420) is an individual massage therapist in Ellenwood, Georgia, licensed in Georgia (MT007007) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1770865420
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMS. QIANA L GORDONCredential: LMT
Location Address4376 NORTHWIND DREllenwood, GA 30294-2474
Mailing Address4457 Covington HwyDecatur, GA 30035-1214 · (678) 886-2203
Sole ProprietorYes
Enumeration DateSeptember 19, 2011
NPI 1770865420 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 · MT007007
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.
4376 NORTHWIND DR, Ellenwood, GA 30294

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 Qiana Gordon's NPI number?

The NPI number for Qiana Gordon is 1770865420. It was assigned to this individual provider in the NPPES registry on September 19, 2011.

Where is Qiana Gordon located?

Qiana Gordon practices at 4376 Northwind Dr, Ellenwood, GA 30294. The listed phone number is (678) 886-2203.

What is Qiana Gordon'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 Qiana Gordon was last updated on September 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.