Doctor Name: | MRS. SADIE JO HARRIS |
NPI Number: | 1295124824 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATC/ L, LMT |
License Number: | 8143 |
Business Practice Address: | Department Of Health And Human Performance Amg Murfreesboro, TN - 371320001 |
Business Phone Number: | 6154246912 |
Business Fax Number: | |
Mailing Address: | Department Of Health And Human Performance, Murphy Center P. O. Box 96 MURFREESBORO |
State: | TN |
Postal Code: | 371320001 |
Phone Number: | 6154246912 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2015 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 8143 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |