Provider Demographics
NPI:1174092514
Name:NASH, SADE (LMT)
Entity type:Individual
Prefix:
First Name:SADE
Middle Name:
Last Name:NASH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2788 DEFOORS FERRY RD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2182
Mailing Address - Country:US
Mailing Address - Phone:470-421-1218
Mailing Address - Fax:
Practice Address - Street 1:3161 HOWELL MILL RD NW STE 400
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-2117
Practice Address - Country:US
Practice Address - Phone:404-478-2399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist