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Kimberly Raven, LMT
Massage Therapist in Stockbridge, Georgia
NPI 1487290664

Kimberly Raven is a Massage Therapist based in Jonesboro, GA. Kimberly Raven practices in Stockbridge, GA and has the professional credentials of LMT. The NPI Number for Kimberly Raven is 1487290664 and holds a License No. MT001871 (Georgia).

The current practice location address for Kimberly Raven is 130 Medical Way Ste A, Stockbridge, GA and can be reached out via phone at 678-871-9854.

Location: 130 Medical Way Ste A, Stockbridge, GA, 30238-4880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487290664
Provider Name
Kimberly Raven
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
130 Medical Way Ste A, Stockbridge, GA, 30238-4880
Phone Number
678-871-9854
Fax Number
Provider Enumeration Date
11/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
130 Medical Way Ste A
City
Stockbridge
State
Georgia
Zip
30281-9088
Phone Number
678-871-9854
Fax Number
person
Provider Business Mailing Address Details
Address
130 Medical Way Ste A
City
Stockbridge
State
Georgia
Zip
30281-9088
Phone Number
678-871-9854
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT001871 (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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