IndividualActive
Alexis Lissmore
NPI 1013884626 · Massage Therapist · Mcdonough, GA
Provider details
- NPI number
- 1013884626
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT009645 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1887 Jonesboro Rd Ste 6
Mcdonough, GA 30253-6219
Phone: (470) 973-2588
Approximate (ZIP-level) locationGet directions
Mailing address
1887 Jonesboro Rd Ste 6
Mcdonough, GA 30253-6219
Registry dates
- Enumerated
- 2025-10-20
- Last updated
- 2025-10-20
- Certified
- 2025-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.