Tabitha D Theodos
Massage Therapist
900 Pershing Hwy
Jonesboro
, Louisiana 71251-2046
Tabitha D Theodos
Massage Therapist
900 Pershing Hwy
Jonesboro
, Louisiana 71251-2046
(318) 259-9897
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Tabitha D Theodos
- 900 Pershing Hwy
- Jonesboro, LA
- Zip : 71251-2046
- Fax : (318) 259-9897
- Phone : (318) 259-9899
Second Address
- Tabitha D Theodos
- 900 Pershing Hwy
- Jonesboro, LA
- Zip : 71251-2046
- Fax : (318) 259-9897
- Phone : (318) 259-9899
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What type of doctor is Tabitha D Theodos
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8198 | LA |
National Provider Identifier
| NPI | 1013445600 |
|---|---|
| Provider Name | Tabitha D Theodos |
| First Address | Jonesboro, LA 71251-2046 |
| Second Address | Jonesboro, LA 71251-2046 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2017 |
| Last Update Date | 26/05/2017 |
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.