Teresa Lorreen Bond, LMT

Individual provider Active NPI Massage Therapist · Madisonville, TN

NPI 1669773545 · NPPES record last updated Nov 9, 2010

Key facts

NPI
1669773545
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
8206 (TN)
Practice address
138 College St S
Madisonville, TN 37354-1475
Phone
(423) 442-8884
NPI assigned
Nov 9, 2010
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
8206TNMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 8206 TN Yes

Addresses

Primary practice location

138 College St S
Madisonville, TN 37354-1475

Mailing address

138 College St S
Madisonville, TN 37354-1475
Phone (423) 442-8884

Other providers in Madisonville, TN

All providers in Madisonville, TN · Massage Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.