P Praxis·MD
● Active Type 1 · Individual

MS. Samantha Elizabeth Wilson, MASSAGE THERAPIST

Massage Therapist·Tucker, GA· NPI 1295170959 · Enumerated 2013 · 13 years on NPI
Wilson is 1 of 13 massage therapist providers in Tucker and 1 of 1375 in Georgia.
NPI age
13 years
Enumerated 2013-05-07
Primary specialty
Massage Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-05-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1375 active massage therapist providers in Georgia.

NPI age
13 years
↑ 8 yr above median (5 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Practice location
2185 Northlake Pkwy Ste 100
Tucker, GA 300844100
📞 7704936360fax 7704936350
Mailing address
2185 Northlake Pkwy Ste 100
Tucker, GA 300844100
📞 7704936360fax 7704936350

Specialties

  • Massage Therapist Primary
    An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
    GA license #MT004816 taxonomy 225700000X

Identifiers

TypeValueNotes
01 (GA) MT004816 STATE LICENSE NUMBER

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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