=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033907225
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RHONDA VARNEY LMT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/28/2025
-----------------------------------------------------
Last Update Date | 04/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 274 CASSIDY BLVD STE 2
-----------------------------------------------------
City | PIKEVILLE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41501-1559
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-653-6016
-----------------------------------------------------
Fax | 606-653-6017
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3231 STATE HIGHWAY 292 W
-----------------------------------------------------
City | BELFRY
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41514-9225
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-625-8190
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 285504
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------