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NPI Code Detail

MEDICARE: LAURA PEYTON CUNNINGHAM-WARD LMT, MMP

MEDICARE:   LAURA PEYTON CUNNINGHAM-WARD  LMT, MMP
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
1225700000XMassage TherapistMT012802GA

General Provider Information

NPI Number : 1740144013
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA PEYTON CUNNINGHAM-WARD LMT, MMP
Provider Business Mailing Address
First Line : 271 LAKESHORE DR
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-3913
Country : US
Telephone Number : 478-365-5774
Fax Number :
Provider Business Practice Location Address
First Line : 1904 HOUSTON LAKE RD
Second Line : SUITE 103
City : PERRY
State : GA
Zip : 31069
Country : US
Telephone Number : 478-244-4715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ LAURA PEYTON CUNNINGHAM-WARD LMT, MMP” Practice Location

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