Individual provider · Type 1 NPI
Reginald Witherspoon
Massage Therapist · Snellville, GA
NPI number
1194582569
Active
Practice location
3630 Travelers Ct
Snellville, GA 30039-5692
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT014760 (GA) |
Massage Therapist: 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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About NPI 1194582569
Reginald Witherspoon's National Provider Identifier is 1194582569, issued on Mar 4, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Snellville, GA. The record was last updated on Mar 4, 2024.