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Contact Information

KIMBERLY RAVEN, LMT
1390 LANIER BLVD. NE SUITE 1409-A
ATLANTA, GA30306
 Phone: 678-871-9854
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for KIMBERLY RAVEN · (Female)

NPI Number 1487290664
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 11/21/2019
Last updated 02/19/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • GA License # MT001871
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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