Tabitha Haynes, CMT,MMP
Individual provider Active NPI Massage Therapist · Stockbridge, VT
NPI 1487130639 · NPPES record last updated Jul 11, 2018
Key facts
- NPI
- 1487130639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 106 VT Route 107
Stockbridge, VT 05772-6701 - Phone
- (802) 558-9499
- NPI assigned
- Jul 11, 2018
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes |
Addresses
Primary practice location
106 VT Route 107
Stockbridge, VT 05772-6701
Mailing address
4187 VT Route 100 S
Rochester, VT 05767-9304
Phone (802) 558-9499
Other practice location 1
4187 Vt Route 100 S
Rochester, VT 05767-9304
Phone (802) 558-9499
Other providers in Stockbridge, VT
All providers in Stockbridge, VT · Massage Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2018. 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.