Louise Thackston Rikard

Individual provider Active NPI Massage Therapist · Speedwell, TN

NPI 1992312987 · NPPES record last updated Sep 24, 2020

Key facts

NPI
1992312987
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
8485 (TN)
Practice address
483 Russell Hill Rd
Speedwell, TN 37870-7161
Phone
(606) 242-1995
NPI assigned
Sep 24, 2020
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

LicenseStateTypeSpecialty
8485TNMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 8485 TN Yes

Addresses

Primary practice location

483 Russell Hill Rd
Speedwell, TN 37870-7161

Mailing address

483 Russell Hill Rd
Speedwell, TN 37870-7161
Phone (606) 242-1995

Other providers in Speedwell, TN

All providers in Speedwell, TN · Massage Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.