Provider Demographics
NPI:1598587222
Name:SAYERS, MARCIA SHARON (LMT, NMT)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:SHARON
Last Name:SAYERS
Suffix:
Gender:F
Credentials:LMT, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5973 SHADOW ROCK DR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-6266
Mailing Address - Country:US
Mailing Address - Phone:856-209-8694
Mailing Address - Fax:
Practice Address - Street 1:7193 INDUSTRIAL BLVD NE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-1478
Practice Address - Country:US
Practice Address - Phone:770-788-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT014016225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist