MEDICARE: CHELSEA LLOYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT013691	GA

General Provider Information

NPI Number	:	1508518432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA LLOYD

Provider Business Mailing Address
First Line	:	5193 PEACHTREE BLVD APT 1433
Second Line	:
City	:	CHAMBLEE
State	:	GA
Zip	:	30341-2859
Country	:	US
Telephone Number	:	410-240-8444
Fax Number	:

Provider Business Practice Location Address
First Line	:	5193 PEACHTREE BLVD APT 1433
Second Line	:
City	:	CHAMBLEE
State	:	GA
Zip	:	30341-2859
Country	:	US
Telephone Number	:	410-240-8444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2022
Last Update Date	:	01/21/2022

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Directions to “ CHELSEA LLOYD ” Practice Location

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