Mr. Antoine Jose Davenport
Kinesiotherapist Massage Therapist
4686 Jamerson Creek Dr
Marietta
, Georgia 30066
Mr. Antoine Jose Davenport
Kinesiotherapist Massage Therapist
4686 Jamerson Creek Dr
Marietta
, Georgia 30066
(404) 966-6400
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About
Features
Specialties
- Massage Therapist
- Kinesiotherapist
Languages spoken
- English
Location
First Address
- Mr. Antoine Jose Davenport
- 4686 Jamerson Creek Dr
- Marietta, GA
- Zip : 30066-1123
- Phone : (404) 966-6400
Second Address
- Mr. Antoine Jose Davenport
- 4686 Jamerson Creek Dr
- Marietta, GA
- Zip : 30066
- Phone : (404) 966-6400
Reviews
FAQs
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What type of doctor is Mr. Antoine Jose Davenport
In what state does Mr. Antoine Jose Davenport practice in?
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What is Mr. Antoine Jose Davenport ’s gender?
Is Mr. Antoine Jose Davenport a sole practitioner?
Is Mr. Antoine Jose Davenport accepting new patients?
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Does Mr. Antoine Jose Davenport accept insurance?
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Does Mr. Antoine Jose Davenport have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT011484 | GA |
| N | 226300000X | Kinesiotherapist |
National Provider Identifier
| NPI | 1790044907 |
|---|---|
| Provider Name | Mr. Antoine Jose Davenport |
| First Address | Marietta, GA 30066-1123 |
| Second Address | Marietta, GA 30066 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2012 |
| Last Update Date | 09/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.