Angeline Tenne

Individual provider Active NPI Massage Therapist · Quinton, VA

NPI 1225753379 · NPPES record last updated Oct 11, 2022

Key facts

NPI
1225753379
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
0019017147 (VA)
Practice address
3215 Rock Creek Villa Dr Ste I
Quinton, VA 23141-1656
Phone
(804) 548-5758
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
No

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
0019017147VAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019017147 VA Yes

Addresses

Primary practice location

3215 Rock Creek Villa Dr Ste I
Quinton, VA 23141-1656

Mailing address

5561 Scotsview Dr
Providence Forge, VA 23140-4470
Phone (804) 548-5758

Other providers in Quinton, VA

All providers in Quinton, VA · Massage Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.