Doctor Name: | AMARILIS DAVIS |
NPI Number: | 1073868907 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.T |
License Number: | MT001112 |
Business Practice Address: | 5505 Peachtree Dunwoody Rd Ne 250 Atlanta, GA - 303421705 |
Business Phone Number: | 4044251577 |
Business Fax Number: | 4044251578 |
Mailing Address: | 5505 Peachtree Dunwoody Rd Ne, 250 ATLANTA |
State: | GA |
Postal Code: | 303421705 |
Phone Number: | 4044251577 |
Fax Number: | 4044251578 |
NPI Enumeration Date: | 07/17/2012 |
NPI Last Update Date: | 07/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT001112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |