Provider Demographics
NPI:1346966421
Name:HARBIN, JOSLYN REED (MS, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:JOSLYN
Middle Name:REED
Last Name:HARBIN
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 BARBERRY LN
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-6904
Mailing Address - Country:US
Mailing Address - Phone:812-881-9969
Mailing Address - Fax:
Practice Address - Street 1:814 BARBERRY LN
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-6904
Practice Address - Country:US
Practice Address - Phone:812-881-9969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0042092255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer