Individual provider · Type 1 NPI

Kimberly Raven, LMT

Massage Therapist · Atlanta, GA

NPI number 1487290664 Active

Practice location

1390 Lanier Blvd. NE Suite 1409-A
Atlanta, GA 30306

Call (678) 871-9854 Map

Mailing address

6059 Shortleaf Dr
Forest Park, GA 30297-4135

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT001871 (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 1487290664

Kimberly Raven, LMT's National Provider Identifier is 1487290664, issued on Nov 21, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Atlanta, GA. The record was last updated on Feb 19, 2025.