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Mr. Larry Jason Reagor, LMT
Massage Therapist in Newnan, Georgia
NPI 1427320522

Larry Jason Reagor is a Massage Therapist based in Newnan, GA. Larry Jason Reagor practices in Newnan, GA and has the professional credentials of LMT. The NPI Number for Larry Jason Reagor is 1427320522 and holds a License No. MT006894 (Georgia).

The current practice location address for Larry Jason Reagor is 29 Vista Bella Way, Newnan, GA and can be reached out via phone at 770-584-0003. You can also correspond with Larry Jason Reagor through the mailing address at 29 VISTA BELLA WAY, NEWNAN, GA - 30265-6014 (mailing address contact number: 770-584-0003).

Location: 29 Vista Bella Way, Newnan, GA, 30265-6014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427320522
Provider Name
Larry Jason Reagor
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
29 Vista Bella Way, Newnan, GA, 30265-6014
Phone Number
770-584-0003
Fax Number
Provider Enumeration Date
02/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
29 Vista Bella Way
City
Newnan
State
Georgia
Zip
30265-6014
Phone Number
770-584-0003
Fax Number
person
Provider Business Mailing Address Details
Address
29 Vista Bella Way
City
Newnan
State
Georgia
Zip
30265-6014
Phone Number
770-584-0003
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT006894 (Georgia)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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