Organization
MEDICAL MASSAGE OF COWETA, LLC
Active
Organization
MEDICAL MASSAGE OF COWETA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA TALLEY LMT, MMP (MEDICAL MASSAGE THERAPIST)
(678) 590-8040
Entity
Organization
Contact information
Practice address
3025B SHARPSBURG MCCULLUM RD STE 108, NEWNAN, GA 30265-6107
(678) 590-8040
(347) 823-8404
Mailing address
3025B HWY 154, SUITE 108, NEWNAN, GA 30265-6107
(678) 590-8040
(347) 823-8404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002072
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619176278
—
GA
Enumeration date
08/13/2018
Last updated
02/28/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up