Ms. Tammie Jean Wade
Massage Therapist
135 W Front St S
Dyer
, Tennessee 38330-1909
Ms. Tammie Jean Wade
Massage Therapist
135 W Front St S
Dyer
, Tennessee 38330-1909
(731) 692-9500
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Ms. Tammie Jean Wade
- 135 W Front St S
- Dyer, TN
- Zip : 38330-1909
- Phone : (731) 692-9500
Second Address
- Ms. Tammie Jean Wade
- 135 W Front St S
- Dyer, TN
- Zip : 38330-1909
- Phone : (731) 692-9500
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Is Ms. Tammie Jean Wade a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0000006138 | TN |
National Provider Identifier
| NPI | 1013105824 |
|---|---|
| Provider Name | Ms. Tammie Jean Wade |
| First Address | Dyer, TN 38330-1909 |
| Second Address | Dyer, TN 38330-1909 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2007 |
| Last Update Date | 05/10/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.