NPI age
6 years
Enumerated 2019-11-21
● Active
Type 1 · Individual
Kimberly Raven, LMT
Raven is 1 of 198 massage therapist providers in Atlanta and 1 of 1375 in Georgia.
Primary specialty
Massage Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-02-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1375 active massage therapist providers in Georgia.
NPI age
6 years
≈ at median (5 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-11Enumerated in NPPES
2019
2026
Where they practice
Practice location
1390 Lanier Blvd. Ne Suite 1409-A
Atlanta, GA 30306
Mailing address
6059 Shortleaf Dr
Forest Park, GA 302974135
Specialties
-
Massage Therapist PrimaryAn individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 8 new massage therapist providers have been added in Atlanta in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.