Provider Demographics
NPI:1013224187
Name:WORLD THERAPY CENTER
Entity Type:Organization
Organization Name:WORLD THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SENIOR MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:LACHEY
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CMT, LMT
Authorized Official - Phone:404-946-3619
Mailing Address - Street 1:1705 MOUNT VERNON RD STE E
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4257
Mailing Address - Country:US
Mailing Address - Phone:404-946-3619
Mailing Address - Fax:770-676-7127
Practice Address - Street 1:1705 MOUNT VERNON RD STE E
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-4257
Practice Address - Country:US
Practice Address - Phone:404-946-3619
Practice Address - Fax:770-676-7127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT003738225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty