Individual provider · Type 1 NPI

Larry Jason Reagor, LMT

Massage Therapist · Newnan, GA

NPI number 1427320522 Active

Practice location

29 Vista Bella Way
Newnan, GA 30265-6014

Call (770) 584-0003 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT006894 (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 1427320522

Larry Jason Reagor, LMT's National Provider Identifier is 1427320522, issued on Feb 4, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Newnan, GA. The record was last updated on Oct 20, 2016.