NPI 1720645849 · live from the CMS NPI Registry
Tabitha Ann Tatman, MT
Massage Therapist in El Dorado, KS. National Provider Identifier 1720645849, active.
NPI record
| NPI | 1720645849 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 215 N Vine St, El Dorado, KS 67042 |
| Practice phone | 316-323-3273 |
| Mailing address | 4362 Sw 4th Ter, El Dorado, KS 67042 |
| Enumerated | May 23, 2019 |
| Last updated | May 23, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 41522 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.