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

MS. Suzette Karen Wilson, CMA, PCT, LMT

Individual provider Specialist · NPI 1407170475

MS. Suzette Karen Wilson, CMA, PCT, LMT is a Specialist in Kennesaw, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2010
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

4172 Shiloh Ridge Trl NW
Kennesaw, GA 30144-2160
Phone: (770) 865-9886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MT005239 (GA)

Record details

NPI number1407170475
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMA , PCT , LMT
Sole proprietorYes
NPI enumeratedMarch 19, 2010
Last updated in NPPESMarch 19, 2010

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