# TONY HAVENS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588171706
- **Gender:** Man
- **Credential:** LMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | ACC222417 | OR | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 12547 | OR | — |
| 225700000X | Massage Therapist | — | OR | Yes |

## Other

- **Enumeration date:** 01/09/2018
- **Last updated:** 09/19/2024