MR. MATTHEW PENOYAR LMT
NPI 1962261669
Massage Therapist in Marietta, GA
- Individual
- Male
- Massage Therapist
About MATTHEW PENOYAR
This page provides the complete NPI Profile along with additional information for Matthew Penoyar, a provider established in Marietta, Georgia with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1962261669 assigned on March 2024. The practitioner's primary taxonomy code is 225700000X with license number MT006323 (GA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1962261669 Verify this NPI
- Provider Name
- MR. MATTHEW PENOYAR LMT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4011 ADDIE LN MARIETTA, GA 30068
- Location Phone
- (678) 852-6230
- Mailing Address
- 4011 ADDIE LN MARIETTA, GA 30068
- Mailing Phone
- (678) 852-6230
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-15-2024
- Last Update Date
- 03-15-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- MT006323
- License State
- GA
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962261669, enumerated as an "individual" on March 15, 2024.
The provider is located at 4011 ADDIE LN MARIETTA, GA 30068 and the phone number is (678) 852-6230.
Massage Therapist with taxonomy code 225700000X.
