SWEETWATER LIFE, LLC
NPI 1790201044
Massage Therapist in Atlanta, GA

Active since August 18, 2017
1117 MCGILL PARK AVE NE, ATLANTA, GA 30312(404) 734-8853 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 18, 2017 (2 updates tracked since 2017).

About Sweetwater Life, Llc NPPES

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

SWEETWATER LIFE, LLC (NPI 1790201044) is a healthcare organization registered as a massage therapist in Atlanta, Georgia and active in the NPI registry since August 2017. The organization lists Lekeisha Marquis Jones, Owner, as its authorized official.

NPPES Registry Identity

NPI1790201044
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameSWEETWATER LIFE, LLC
Location Address1117 MCGILL PARK AVE NEAtlanta, GA 30312-4221
Mailing Address1117 Mcgill Park Ave NeAtlanta, GA 30312-4221 · (404) 734-8853
Organization SubpartNo
Authorized OfficialLekeisha Marquis JonesOwner · (404) 734-8853
Enumeration DateAugust 18, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1790201044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in GA · MT008978
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.
Also ListedReflexologistTaxonomy 173C00000X · License MT008978 (GA)
1117 MCGILL PARK AVE NE, Atlanta, GA 30312

Other Identifiers 1

OtherMT008978GA · Massage Therapy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Massage Therapist
1117 MCGILL PARK AVE NE
ATLANTA, GA 30312

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 Sweetwater Life, LLC's NPI number?

The NPI number for Sweetwater Life, LLC is 1790201044. It was assigned to this organization in the NPPES registry on August 18, 2017.

Where is Sweetwater Life, LLC located?

Sweetwater Life, LLC is located at 1117 Mcgill Park Ave NE, Atlanta, GA 30312. The listed phone number is (404) 734-8853.

What is Sweetwater Life, 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 Sweetwater Life, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.