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NPI 1477939262

NPI 1477939262 : MASSAGE THERAPY BY JEFF PRESSLEY : HARRIMAN, TN

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General NPI Number Information
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    NPI Number           |    1477939262
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    Entity Type          |    Organization 
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    Legal Business Name  |    MASSAGE THERAPY BY JEFF PRESSLEY 
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Dates
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    Enumeration Date     |    08/04/2015
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    Last Update Date     |    08/04/2015
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Provider Practice Location Address
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    Address Line         |    2497 S ROANE ST SUITE 200
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    City                 |    HARRIMAN
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    State                |    TN
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    Zip                  |    37748-8670
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    Country              |    US
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    Telephone            |    865-438-8047
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2497 S ROANE ST SUITE 200
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    City                 |    HARRIMAN
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    State                |    TN
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    Zip                  |    37748-8670
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MASSAGE THERAPIST
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    Name                 |    MR. JEFFERY L PRESSLEY 
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    Credential           |    L.M.T.
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    Telephone            |    865-438-8047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    MT 0000010463
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    License Number State |    TN
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