# PROFOUND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922794676
- **Authorized official:** AREIGNA PRESTON OMT, LMT, BCTMB (OWNER/MANAGER)
- **Authorized official phone:** (470) 323-6020

## Contact information

- **Practice address:** 4855 RIVER GREEN PKWY STE 320, DULUTH, GA 30096-8337
- **Practice address phone:** (470) 323-7665
- **Practice address fax:** (877) 519-1412
- **Mailing address:** 3954 RIVERSTONE DR, SUWANEE, GA 30024-1894
- **Mailing address phone:** (470) 573-7384
- **Mailing address fax:** (877) 519-1412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 04/14/2023
- **Last updated:** 11/23/2023