Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tamatha Dale Willis, C-MMP

Individual provider Massage Therapist · NPI 1447105291

Tamatha Dale Willis, C-MMP is a Massage Therapist in Woodstock, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026
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Practice location Address checks out

102 Mirramont Lake Dr
Woodstock, GA 30189-8213
Phone: (678) 492-9600
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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 MT007252 (GA)

Record details

NPI number1447105291
Entity typeIndividual (Type 1)
GenderFemale
Credentials C-MMP
Sole proprietorYes
NPI enumeratedFebruary 26, 2026
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

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