Individual provider · NPI-1

Toshiba Forrest

Massage Therapist · Lithonia, GA

NPI number1235620899
StatusActive
Last updated in NPPESAug 28, 2020

Details

NPI
1235620899
Entity type
Individual (NPI-1)
Name
Toshiba Forrest
Sex
Female
Sole proprietor
Yes
Enumeration date
May 18, 2018
Certification date
Aug 28, 2020
Last updated
Aug 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT012062GAYes

Practice location

3700 Bramblevine Cir
Lithonia, GA 30038-2918

Phone 770-596-4896

Mailing address

4453 Grove Lake St
Loganville, GA 30052-8144

Phone 770-596-4896

Other practice locations

4453 Grove Lake St
Loganville, GA 30052-8144

Phone 770-596-4896

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Massage Therapist providers in Lithonia, GA