Unknown Individual – Massage Therapist, NPI 1003142399

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Massage Therapist. They hold a License No. 140733 (AK). The NPI Number for Unknown Individual is 1003142399

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003142399
Phone
(404) 530-9295
Address
130 W Wieuca Rd NE
Deactivation Date
29 June 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 130 W Wieuca Rd NE

    Suite 204

    Atlanta, GA 303423250

    Phone: (404) 530-9295

    Type: Location

  • 501 N Main St # 1842

    Wasilla, AK 996547052

    Phone: (256) 392-6234

    Type: Location

  • PO BOX 871842

    WASILLA, AK 996871842

    Phone: (256) 392-6234

    Type: Mailing

  • East Bogard Road, Wasilla, Matanuska-Susitna, Alaska, 99654, United States

    WASILLA, AK 996546569

    Phone: (256) 392-6234

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30342)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1003142399?
NPI 1003142399 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Massage Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Atlanta, Georgia as the reference point for Unknown Individual, then confirm.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.