NPI 1659668200

Tanya Hazelwood, LMT

Practitioner Massage Therapist Ronceverte, WV

Practice location

Address: 804 Chesapeake St, Ronceverte, WV 24970-1426
Phone: (304) 647-0046

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 20102716 (WV)

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Registry record

NPI: 1659668200
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jul 2011
Record last updated: 5 Jul 2011

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.