Doctor Name: | MEKIA THOMAS |
NPI Number: | 1972758415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MT003673 |
Business Practice Address: | 785 Virginia Ave Ste B Hapeville, GA - 303541991 |
Business Phone Number: | 6783679621 |
Business Fax Number: | 4044770906 |
Mailing Address: | Po Box 310761, ATLANTA |
State: | GA |
Postal Code: | 311310761 |
Phone Number: | 6783679621 |
Fax Number: | 4044770906 |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT003673 |
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. |