MR. LARRY JASON REAGOR LMT NPI 1427320522

NPI Information

NPI: 1427320522
Provider Name: MR. LARRY JASON REAGOR, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
29 VISTA BELLA WAY
NEWNAN, GA
ZIP 30265
Phone: (770) 584-0003
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MR. Larry Jason Reagor, LMT is a massage therapist in Newnan, GA. The provider is 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. MR. Larry Jason Reagor, LMT NPI is 1427320522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

29 VISTA BELLA WAY
NEWNAN, GA
ZIP 30265-014
Phone: (770) 584-0003

The enumeration date for this NPI number is 2/4/2012 and was last updated on 10/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MT006894	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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