Mr Larry Jason Reagor, LMT | |
29 Vista Bella Way, Newnan, GA 30265-6014 | |
(770) 584-0003 | |
Not Available |
Full Name | Mr Larry Jason Reagor |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 29 Vista Bella Way, Newnan, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427320522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MT006894 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Larry Jason Reagor, LMT 29 Vista Bella Way, Newnan, GA 30265-6014 Ph: (770) 584-0003 | Mr Larry Jason Reagor, LMT 29 Vista Bella Way, Newnan, GA 30265-6014 Ph: (770) 584-0003 |
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