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Individual

AREIGNA MARIE PRESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OMT, LMT, BCTMB

Contact information

Practice address
3954 RIVERSTONE DR, SUWANEE, GA 30024-1894
(470) 323-6020
Mailing address
3954 RIVERSTONE DR, SUWANEE, GA 30024-1894
(470) 323-6020

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019011450
VA
225700000X
Massage Therapist
20133096
WV
225700000X
Massage Therapist
Primary
MT013230
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0019011450
STATE LICENSE
VA
05
1467855924
GA
01
20133096
STATE LICENSE
WV
01
MT013230
STATE LICENSE
GA
Enumeration date
09/29/2014
Last updated
04/14/2023
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