Della Mae Deventuri, LMT
Individual provider Active NPI Massage Therapist · Pulaski, TN
NPI 1184826554 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184826554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT0000002391 (TN)
- Practice address
- 2735 Ball Hollow Rd
Pulaski, TN 38478-6634 - Phone
- (931) 424-5600
- NPI assigned
- Jun 5, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT0000002391 | TN | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT0000002391 | TN | Yes |
Addresses
Primary practice location
2735 Ball Hollow Rd
Pulaski, TN 38478-6634
Mailing address
2735 Ball Hollow Rd
Pulaski, TN 38478-6634
Phone (931) 424-5600
Other providers in Pulaski, TN
- Devonna Davis
- Gwendolyn Davis
- Hannah Davis
- Holly Camille Davis
- Robyn Alexis Davis
- Dialysis Associates, LLC
- Pamela Ables Dockery
- Mary Lauren Doggett
- Dr. John T Mann DDS
- Dr. Tesa H. Jolly
All providers in Pulaski, TN · Massage Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.