Provider Demographics
NPI:1689471328
Name:HARTMAN, DEVIN CHRISTOPHER (LMT)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:CHRISTOPHER
Last Name:HARTMAN
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 AMSTERDAM AVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-3470
Mailing Address - Country:US
Mailing Address - Phone:678-237-1911
Mailing Address - Fax:
Practice Address - Street 1:500 AMSTERDAM AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-3470
Practice Address - Country:US
Practice Address - Phone:678-237-1911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT013959225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist