Individual
DIANA REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11720 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097-1509
(770) 622-4000
Mailing address
11720 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097-1509
(770) 622-4000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002399
GA
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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