Individual provider · NPI-1
Shamuwel Adam Bin Abraham, LMT, NMT
Massage Therapist · Lawrenceville, GA
NPI number1134051758
StatusActive
Last updated in NPPESMay 29, 2026
Details
- NPI
- 1134051758
- Entity type
- Individual (NPI-1)
- Name
- Shamuwel Adam Bin Abraham
- Credential
- LMT, NMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 29, 2026
- Certification date
- May 29, 2026
- Last updated
- May 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT015677 | GA | Yes |
| 226300000X | Kinesiotherapist | MT015677 | GA | |
| 171400000X | Health & Wellness Coach | MT015677 | GA | |
| 374K00000X | Religious Nonmedical Practitioner | MT015677 | GA |
Practice location
3370 Sugarloaf Pkwy Ste G6Lawrenceville, GA 30044-5486
Phone 678-404-7492
Mailing address
1035 Scales RdApt 2301
Suwanee, GA 30024-1923
Phone 706-324-8147
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