IndividualActive
Andrew Gracen
NPI 1619782802 · Massage Therapist · Atlanta, GA
Provider details
- NPI number
- 1619782802
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 007120 (GA)
Mailing address
5480 Willow Point Pkwy
Marietta, GA 30068-1834
Registry dates
- Enumerated
- 2025-02-12
- Last updated
- 2025-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.