Tony Hardaway, LMT, NCTMB
NPI #1770744328 in Caruthersville, Missouri
Provider Information
- NPI Number
- 1770744328
- Entity Type
- Individual
- Name
- Tony Hardaway, LMT, NCTMB
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT, NCTMB
- Enumeration Date
- Jun 17, 2008
- Last Updated
- Jun 17, 2008
Practice Location
- Address
- 105 W 12TH ST
- Address 2
- 105 W. 12TH STREET
- City
- Caruthersville
- State
- Missouri
- ZIP Code
- 63830-1817
- Phone
- (573) 333-1690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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