Tyler Mathew Lenahan, LMT
Massage Therapist in Tyrone, GA. Individual provider (NPI-1).
NPI number1801657697
StatusActive
Last updated in NPPESJan 18, 2024
Details
- NPI
- 1801657697
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tyler Mathew Lenahan
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 18, 2024
- Certification date
- Jan 18, 2024
- Last updated
- Jan 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT014701 | GA | Yes |
Practice location
100 Lloyd Ave Ste ETyrone, GA 30290-2157
Phone 678-675-5684
Mailing address
100 Lloyd Ave Ste ETyrone, GA 30290-2157
Phone 678-675-5684
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 Tyrone, GA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.