KIMBERLY RAVEN LMT
NPI 1487290664
Massage Therapist in Atlanta, GA

Active since November 21, 2019
1390 LANIER BLVD. NE SUITE 1409-A, ATLANTA, GA 30306(678) 871-9854 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2025, Nov 21, 2019 (2 updates tracked since 2019).

About Kimberly Raven Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY RAVEN LMT (NPI 1487290664) is an individual massage therapist in Atlanta, Georgia, licensed in Georgia (MT001871) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1487290664
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKIMBERLY RAVENCredential: LMT
Location Address1390 LANIER BLVD. NE SUITE 1409-AAtlanta, GA 30306
Mailing Address6059 Shortleaf DrForest Park, GA 30297-4135 · (678) 871-9854
Sole ProprietorYes
Enumeration DateNovember 21, 2019
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
NPI 1487290664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in GA · MT001871
Definition
An 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.
1390 LANIER BLVD. NE SUITE 1409-A, Atlanta, GA 30306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Raven's NPI number?

The NPI number for Kimberly Raven is 1487290664. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Where is Kimberly Raven located?

Kimberly Raven practices at 1390 Lanier Blvd. NE Suite 1409-A, Atlanta, GA 30306. The listed phone number is (678) 871-9854.

What is Kimberly Raven's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kimberly Raven was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.