MEDICARE: REASHEAL LOCKETT LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT007136	GA

General Provider Information

NPI Number	:	1225965346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REASHEAL LOCKETT LMT

Provider Business Mailing Address
First Line	:	2107 FAULKNER RD NE # GTB541
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-4366
Country	:	US
Telephone Number	:	770-765-2211
Fax Number	:

Provider Business Practice Location Address
First Line	:	2107 FAULKNER RD NE # GTB541
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-4366
Country	:	US
Telephone Number	:	770-765-2211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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Directions to “ REASHEAL LOCKETT LMT” Practice Location

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