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Larina Deireland Matthews
Massage Therapist in Fairburn, Georgia
NPI 1427663319

Larina Deireland Matthews is a Massage Therapist based in Fairburn, GA. Larina Deireland Matthews practices in Fairburn, GA. The NPI Number for Larina Deireland Matthews is 1427663319 and holds a License No. MT011474 (Georgia).

The current practice location address for Larina Deireland Matthews is 6375 Capitol Knl, Fairburn, GA and can be reached out via phone at 414-803-7188.

Location: 6375 Capitol Knl, Fairburn, GA, 30213-4430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427663319
Provider Name
Larina Deireland Matthews
Credential
Provider Entity Type
Individual
Gender
Female
Address
6375 Capitol Knl, Fairburn, GA, 30213-4430
Phone Number
414-803-7188
Fax Number
Provider Enumeration Date
09/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6375 Capitol Knl
City
Fairburn
State
Georgia
Zip
30213-4430
Phone Number
414-803-7188
Fax Number
person
Provider Business Mailing Address Details
Address
6375 Capitol Knl
City
Fairburn
State
Georgia
Zip
30213-4430
Phone Number
414-803-7188
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT011474 (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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