Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Reginald Witherspoon

Individual provider Massage Therapist · NPI 1194582569

Reginald Witherspoon is a Massage Therapist in Snellville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

3630 Travelers Ct
Snellville, GA 30039-5692
Phone: (678) 790-8357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT014760 (GA)

Record details

NPI number1194582569
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 2, 2024
Mailing address3630 Travelers Ct, Snellville, GA 30039-5692

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