Tanya Sunday Carman, LMT

Individual provider Active NPI Massage Therapist · Lawrenceburg, KY

NPI 1154677649 · NPPES record last updated Aug 2, 2012

Key facts

NPI
1154677649
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
KY3546 (KY)
Practice address
143 W Woodford St Ste 1
Lawrenceburg, KY 40342-1580
Phone
(502) 321-3839
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
KY3546KYMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X KY3546 KY Yes

Addresses

Primary practice location

143 W Woodford St Ste 1
Lawrenceburg, KY 40342-1580

Mailing address

339 Cull Rd
Mount Eden, KY 40046-7085
Phone (502) 321-3839

Other identifiers

IdentifierTypeStateIssuer
KY3546OtherKYSTATE OF KY-LICENSE #: KY3546

Other providers in Lawrenceburg, KY

All providers in Lawrenceburg, KY · Massage Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.