MEDICARE: AURA MOSELEY MASSAGE THERAPIST

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	MT015084	GA

General Provider Information

NPI Number	:	1861327801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AURA MOSELEY MASSAGE THERAPIST

Provider Business Mailing Address
First Line	:	26 LAKES EDGE DR SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-8038
Country	:	US
Telephone Number	:	213-572-7898
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 LAKES EDGE DR SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-8038
Country	:	US
Telephone Number	:	213-572-7898
Fax Number	:

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

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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Directions to “ AURA MOSELEY MASSAGE THERAPIST” Practice Location

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