Provider Demographics
NPI:1528590940
Name:ADDED PRESSURE MASSAGE
Entity Type:Organization
Organization Name:ADDED PRESSURE MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ELLIOTT
Authorized Official - Last Name:BECKETT
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, LPTA
Authorized Official - Phone:404-307-8201
Mailing Address - Street 1:1387 HAYNES MEADOW TRL
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:GA
Mailing Address - Zip Code:30017-2816
Mailing Address - Country:US
Mailing Address - Phone:404-307-8201
Mailing Address - Fax:
Practice Address - Street 1:1387 HAYNES MEADOW TRL
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:GA
Practice Address - Zip Code:30017-2816
Practice Address - Country:US
Practice Address - Phone:404-307-8201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPTA002167225200000X
GAMT000813225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty