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

Mrs. Christy Latasha Fuller, LMT

Individual provider Exclusive Provider Organization · NPI 1063852630

Mrs. Christy Latasha Fuller, LMT is an Exclusive Provider Organization in Decatur, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2013
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

2288 Miriam Ln
Decatur, GA 30032-5551
Phone: (404) 343-8848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X · Licence MT008977 (GA)

Record details

NPI number1063852630
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 27, 2013
Last updated in NPPESJune 27, 2013

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