Healthcare Provider Details

I. General information

NPI: 1467366922
Provider Name (Legal Business Name): JAMIE ARMSTRONG LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 RENFREW DR
ATHENS GA
30606-3949
US

IV. Provider business mailing address

195 RENFREW DR
ATHENS GA
30606-3949
US

V. Phone/Fax

Practice location:
  • Phone: 678-313-3136
  • Fax:
Mailing address:
  • Phone: 678-313-3136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT055124
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: