Kimberly Raven, LMT - Massage Therapist in Atlanta, GA

Kimberly Raven, LMT is a Massage Therapist based in Atlanta, Georgia. Kimberly Raven is licensed to practice in Georgia (license number MT001871) and her current practice location is 1390 Lanier Blvd. Ne Suite 1409-a, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at (678) 871-9854.

NPI number for Kimberly Raven is 1487290664 and her current mailing address is 6059 Shortleaf Dr, Forest Park, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487290664.

Contact Information

Kimberly Raven, LMT
1390 Lanier Blvd. Ne Suite 1409-a,
Atlanta, GA 30306
(678) 871-9854
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKimberly Raven
GenderFemale
SpecialityMassage Therapist
Location1390 Lanier Blvd. Ne Suite 1409-a, Atlanta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487290664
  • Provider Enumeration Date: 11/21/2019
  • Last Update Date: 02/19/2025

Medical Identifiers

Medical identifiers for Kimberly Raven such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487290664NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist MT001871 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Raven is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Raven, LMT
6059 Shortleaf Dr,
Forest Park, GA 30297-4135

Ph: (678) 871-9854
Kimberly Raven, LMT
1390 Lanier Blvd. Ne Suite 1409-a,
Atlanta, GA 30306

Ph: (678) 871-9854

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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