Tabitha Ashley Mamie Aranda, LMT

Individual provider Active NPI Massage Therapist · Collierville, TN

NPI 1194438150 · NPPES record last updated Jan 4, 2023

Key facts

NPI
1194438150
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
0000007318 (TN)
Practice address
3670 S Houston Levee Rd Ste 107
Collierville, TN 38017-9145
Phone
(901) 842-1444
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
0000007318TNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Goulds Beauty Salons Incorporated Massage Therapist Current
since Jan 8, 2023
Accepting new patients

Locations

3670 S Houston Levee Rd
Ste 107
Collierville, TN 38017
Phone (901) 842-1444

766 S White Station Rd
Ste 3
Memphis, TN 38117

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0000007318 TN Yes

Addresses

Primary practice location

3670 S Houston Levee Rd Ste 107
Collierville, TN 38017-9145

Mailing address

766 S White Station Rd Ste 3
Memphis, TN 38117-4579
Phone (901) 842-1444

Other names

  • Tabitha Ashley Mamie Clark Former name

Other providers in Collierville, TN

All providers in Collierville, TN · Massage Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.