MR. DARRELL WINSTON SCAIFE MMP, BCTMB
NPI 1790981645
Massage Therapist in Marietta, GA
Active since June 26, 2007
About Mr. Darrell Winston Scaife Mmp, Bctmb NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DARRELL WINSTON SCAIFE MMP, BCTMB (NPI 1790981645) is an individual massage therapist in Marietta, Georgia, licensed in Georgia (MT000522) and active in the NPI registry since June 2007.
NPPES Registry Identity
NPI1790981645
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. DARRELL WINSTON SCAIFECredential: MMP, BCTMB
Location Address2410 BOB BETTIS RDMarietta, GA 30066-5712
Mailing Address2550 Sandy Plains Rd, Ste 225 #333Marietta, GA 30066-7256 · (770) 910-0341
Phone(704) 526-7112
Sole ProprietorYes
Enumeration DateJune 26, 2007
Last NPPES UpdateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
✔ NPI 1790981645 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in GA · MT000522
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 ListedSpecialistTaxonomy 174400000X · License MT000522 (GA)
2410 BOB BETTIS RD, Marietta, GA 30066
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790981645, enumerated as an "individual" on June 26, 2007.
The provider is located at 2410 BOB BETTIS RD MARIETTA, GA 30066 and the phone number is (704) 526-7112.
Massage Therapist with taxonomy code 225700000X.
