IndividualActive
Andrew Dacres, LMT
NPI 1720329295 · Massage Therapist · Atlanta, GA
Provider details
- NPI number
- 1720329295
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- MT006007 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3300 N E Expy Ne Ste C
Atlanta, GA 30341-3932
Phone: (770) 500-3848
Fax: (678) 868-1114
Approximate (ZIP-level) locationGet directions
Mailing address
3629 Linecrest Trl
Ellenwood, GA 30294-1972
Registry dates
- Enumerated
- 2013-03-08
- Last updated
- 2013-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.