Provider Demographics
NPI:1982957593
Name:ADAMS, SABRINA RAE (LMT)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:RAE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1062 BEAR CREEK BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-1849
Mailing Address - Country:US
Mailing Address - Phone:770-946-0405
Mailing Address - Fax:770-946-0407
Practice Address - Street 1:1062 BEAR CREEK BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-1849
Practice Address - Country:US
Practice Address - Phone:770-946-0405
Practice Address - Fax:770-946-0407
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT008178225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist