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OCTAVIA ELAYNE MCKENNEY
NPI 1811529225
Massage Therapist in Marietta, GA

Active since February 04, 2020
3577 MAIN STATION DR SW, MARIETTA, GA 30008(678) 869-1250 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Octavia Elayne Mckenney NPPES

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

OCTAVIA ELAYNE MCKENNEY (NPI 1811529225) is an individual massage therapist in Marietta, Georgia, licensed in Georgia (MT011404) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1811529225
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameOCTAVIA ELAYNE MCKENNEY
Location Address3577 MAIN STATION DR SWMarietta, GA 30008-6054
Mailing Address3577 Main Station Dr SwMarietta, GA 30008-6054 · (678) 869-1250
Phone(678) 869-1250
Sole ProprietorYes
Enumeration DateFebruary 4, 2020
✔ NPI 1811529225 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 · MT011404
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.
3577 MAIN STATION DR SW, Marietta, GA 30008
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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 Octavia Mckenney's NPI number?

The NPI number for Octavia Mckenney is 1811529225. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Where is Octavia Mckenney located?

Octavia Mckenney practices at 3577 Main Station Dr SW, Marietta, GA 30008. The listed phone number is (678) 869-1250.

What is Octavia Mckenney'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 Octavia Mckenney was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.