Healthcare Provider Details

I. General information

NPI: 1427973122
Provider Name (Legal Business Name): TASHAUNDRA BOYD LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5936 GILES ROAD (MOBILE PRACTICE, NO CLIENTS ONSITE)
LITHONIA GA
30058
US

IV. Provider business mailing address

5936 GILES RD
LITHONIA GA
30058-8358
US

V. Phone/Fax

Practice location:
  • Phone: 470-561-5855
  • Fax:
Mailing address:
  • Phone: 470-514-8404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT013369
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: