MEDICARE: TONYA ARMSTRONG DOBSON LMBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	20990	NC

General Provider Information

NPI Number	:	1487407763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONYA ARMSTRONG DOBSON LMBT

Provider Business Mailing Address
First Line	:	4009 CORNING PL STE E2-373
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-1299
Country	:	US
Telephone Number	:	704-292-4419
Fax Number	:

Provider Business Practice Location Address
First Line	:	10215 HICKORYWOOD HILL AVE
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-3428
Country	:	US
Telephone Number	:	704-292-4419
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2024
Last Update Date	:	04/08/2024

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