Provider Demographics
NPI:1710360441
Name:CURRENTS MASSAGE LLC
Entity Type:Organization
Organization Name:CURRENTS MASSAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:404-625-7148
Mailing Address - Street 1:760 OLD ROSWELL ROAD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076
Mailing Address - Country:US
Mailing Address - Phone:404-625-7148
Mailing Address - Fax:
Practice Address - Street 1:760 OLD ROSWELL ROAD
Practice Address - Street 2:SUITE 230
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076
Practice Address - Country:US
Practice Address - Phone:404-625-7148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT004823225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty