Individual provider · Type 1 NPI
Tanika Annette Gillard, LMT
Massage Therapist · Jackson, TN
NPI number
1245754563
Active
Practice location
4 Hampton Ln
Jackson, TN 38305
Mailing address
4 N Hampton Ln
Jackson, TN 38305-3924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 6375 (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 1245754563
Tanika Annette Gillard, LMT's National Provider Identifier is 1245754563, issued on Jul 28, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jackson, TN. The record was last updated on Jul 21, 2022.