Healthcare Provider Details

I. General information

NPI: 1134023401
Provider Name (Legal Business Name): TANGELA T. APPLEWHITE LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5754 RAYBEN CIR STE 4
MEMPHIS TN
38115-2062
US

IV. Provider business mailing address

6976 WESLEY CT
MEMPHIS TN
38119-8742
US

V. Phone/Fax

Practice location:
  • Phone: 901-496-2508
  • Fax:
Mailing address:
  • Phone: 901-496-2508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number15538
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: