IndividualActive
Anita Conley, MMP
NPI 1104559962 · Massage Therapist · Cumming, GA
Provider details
- NPI number
- 1104559962
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT006381 (GA)
Mailing address
6030 Southard Trce
Cumming, GA 30040-6343
Registry dates
- Enumerated
- 2022-07-07
- Last updated
- 2023-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.