NPI 1831606664

Jana Kay Tidwell, LMT

Practitioner Massage Therapist Alexandria, LA

Practice location

Address: 3834 Independence Dr, Alexandria, LA 71303-3533
Phone: (318) 487-0960
Fax: (318) 487-2002

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence LA2759 (LA)

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Registry record

NPI: 1831606664
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2018
Record last updated: 2 Jan 2018

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.