TRENTON DEMETRIUS MACK LMT
NPI 1790374338
Massage Therapist in Decatur, GA

Q: What is Trenton Mack's NPI number?

The NPI number for Trenton Mack is 1790374338. It was assigned to this individual provider in the NPPES registry on January 17, 2021.

Q: What is Trenton Mack's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Trenton Mack was last updated on January 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 17, 2021

1953 CRESTMOORE DR, DECATUR, GA 30032(770) 883-5839 Get Directions Write a Review

NPPES record last updated: January 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Trenton Demetrius Mack Lmt NPPES

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

TRENTON DEMETRIUS MACK LMT (NPI 1790374338) is an individual massage therapist in Decatur, Georgia, licensed in Georgia (MT012952) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1790374338

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameTRENTON DEMETRIUS MACKCredential: LMT

Location Address1953 CRESTMOORE DRDecatur, GA 30032-4909

Mailing Address1953 Crestmoore DrDecatur, GA 30032-4909 · (770) 883-5839

Phone(770) 883-5839

Sole ProprietorNo

Enumeration DateJanuary 17, 2021

NPPES CertifiedJanuary 17, 2021

✔ NPI 1790374338 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 · MT012952

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.

1953 CRESTMOORE DR, Decatur, GA 30032

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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 Trenton Mack's NPI number?

The NPI number for Trenton Mack is 1790374338. It was assigned to this individual provider in the NPPES registry on January 17, 2021.

Where is Trenton Mack located?

Trenton Mack practices at 1953 Crestmoore Dr, Decatur, GA 30032. The listed phone number is (770) 883-5839.

What is Trenton Mack'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 Trenton Mack was last updated on January 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.