NPI 1194582569

Reginald Witherspoon

Practitioner Massage Therapist Snellville, GA

Practice location

Address: 3630 Travelers CT, Snellville, GA 30039-5692
Phone: (678) 790-8357

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT014760 (GA)

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Registry record

NPI: 1194582569
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Mar 2024
Record last updated: 4 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.