Doctor Name: | DR. RONA ANNETTE TALLEY |
NPI Number: | 1821321688 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ND,LMT, RCR |
License Number: | MT0000000259 |
Business Practice Address: | 620 Cold Spring Dr Antioch, TN - 370131311 |
Business Phone Number: | 6153614749 |
Business Fax Number: | 6153614749 |
Mailing Address: | 620 Cold Spring Dr, ANTIOCH |
State: | TN |
Postal Code: | 370131311 |
Phone Number: | 6153614749 |
Fax Number: | 6153614749 |
NPI Enumeration Date: | 09/11/2009 |
NPI Last Update Date: | 09/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT0000000259 |
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. |