Tony Hardaway in Caruthersville - Massage Therapist
Tony Hardaway - NPI 1770744328
Tony Hardaway is a Massage Therapist in Caruthersville, Missouri. Tony Hardaway practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Tony Hardaway is 1770744328. The last update date is 2008-06-17.
Tony Hardaway's current location address is 105 W 12th St, Caruthersville, Missouri. You can contact this provider via phone number 5733331690. The mailing address for Tony Hardaway is 105 W 12th St, Caruthersville, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tony Hardaway |
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Address | 105 W 12th St, Caruthersville, Missouri |
Phone Number | 5733331690 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LMT, NCTMB |
NPI Number Detail
NPI Number | 1770744328 |
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Provider Enumeration Date | 2008-06-17 |
Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
Address | 105 W 12th St |
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City | Caruthersville |
State | Missouri (MO) |
Post Code | 638301817 |
Phone Number | 5733331690 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Massage Therapist |
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Taxonomy | 225700000X |
Licence No | 2007000188 |
Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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What is the unique identification code assigned to Tony Hardaway by the Centers for Medicare & Medicaid Services?
The Tony Hardaway has been issued the NPI (National Provider Identifier) 1770744328. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Tony Hardaway's facilities are geographically located?
The facilities of Tony Hardaway are physically situated at the following location: 105 W 12Th St, Caruthersville, MO, 638301817.
What is Tony Hardaway's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tony Hardaway's specialized field of practice is Massage Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225700000X.
When was the Tony Hardaway's 1770744328 issued?
The Tony Hardaway's 1770744328 was issued on 2008-06-17.
When was the Tony Hardaway's information last updated?
The Tony Hardaway's information was last updated on 2008-06-17.