NPI 1063958619 · live from the CMS NPI Registry
Tamala A. Allen, L.M.T.
Massage Therapist in Pensacola, FL. National Provider Identifier 1063958619, active.
NPI record
| NPI | 1063958619 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1720 W Fairfield Drive, 312, Pensacola, FL 32501 |
| Practice phone | 850-426-4158 |
| Mailing address | 1720 W Fairfield Dr, 312, Pensacola, FL 32501 |
| Enumerated | January 6, 2017 |
| Last updated | January 6, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | MA 62968 (FL) |
| Massage Therapist | 225700000X | MM 27552 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.