Doctor Name: | REBECCA R CAREY |
NPI Number: | 1124296785 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCTMB, LMT |
License Number: | MT001764 |
Business Practice Address: | 106 Davis Rd Suite D Martinez, GA - 309071792 |
Business Phone Number: | 7066510202 |
Business Fax Number: | |
Mailing Address: | 563 Jackson St, GROVETOWN |
State: | GA |
Postal Code: | 308133752 |
Phone Number: | 7069518228 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2008 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT001764 |
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. |