| 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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