Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Macauly Basham, LMT

Individual provider Massage Therapist · NPI 1578350732

Macauly Basham, LMT is a Massage Therapist in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1301 Shiloh Rd NW Ste 510
Kennesaw, GA 30144-7153
Phone: (678) 871-6170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT012479 (GA)

Record details

NPI number1578350732
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedApril 22, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address2586 Club Valley Dr Ne, Marietta, GA 30068-3550

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