NPI 1013445600

Tabitha D Theodos, LMT

Practitioner Massage Therapist Jonesboro, LA

Practice location

Address: 900 Pershing Hwy, Jonesboro, LA 71251-2046
Phone: (318) 259-9899
Fax: (318) 259-9897

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 8198 (LA)

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Registry record

NPI: 1013445600
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.