Individual provider · Type 1 NPI
Connie Evans, LMT
Massage Therapist · Clarksville, TN
NPI number
1104397983
Active
Practice location
204 Harnett Ct Ste A
Clarksville, TN 37043-2068
Mailing address
511 Ringgold Rd
Clarksville, TN 37042-3405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 11933 (TN) |
Massage Therapist: 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.
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About NPI 1104397983
Connie Evans, LMT's National Provider Identifier is 1104397983, issued on Dec 5, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clarksville, TN. The record was last updated on Dec 5, 2018.