Individual
MS. TAMMIE JEAN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
135 W FRONT ST S, DYER, TN 38330-1909
(731) 692-9500
Mailing address
135 W FRONT ST S, DYER, TN 38330-1909
(731) 692-9500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000006138
TN
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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