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Individual

ASHLYNN EARLINE REAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2020 OLD ALABAMA RD, AUSTELL, GA 30168-4923
(678) 768-2061
Mailing address
1201 W PEACHTREE ST NW # 795559, ATLANTA, GA 30309-3449
(678) 768-2061

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010166
GA

Other

Enumeration date
11/06/2023
Last updated
11/06/2023
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