Individual provider · NPI-1

Charnise Greene, LMT

Massage Therapist · Lithonia, GA

NPI number1013721398
StatusActive
Last updated in NPPESFeb 5, 2025

Details

NPI
1013721398
Entity type
Individual (NPI-1)
Name
Charnise Greene
Credential
LMT
Sex
Female
Sole proprietor
No
Enumeration date
Feb 5, 2025
Certification date
Feb 5, 2025
Last updated
Feb 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT015259GAYes

Practice location

3429 Hunters Hill Dr
Lithonia, GA 30038-1614

Phone 678-492-2736

Mailing address

3429 Hunters Hill Dr
Lithonia, GA 30038-1614

Phone 678-492-2736

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