Reagor, Larry Jason

Reagor, Larry Jason is an sole proprietor health care provider with primary practice located at 29 Vista Bella Way , Newnan GA 30265-6014. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Reagor, Larry Jason can be contacted via phone (770) 584-0003.

Contact Information

Primary practice address
29 Vista Bella Way Newnan GA 30265-6014
Phone: (770) 584-0003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT006894 Georgia

Profile Details

NPI number 1427320522
LBN Legal business name Reagor, Larry Jason
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2012
Last updated Oct 20th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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