Individual
TABITHA D THEODOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
900 PERSHING HWY, JONESBORO, LA 71251-2046
(318) 259-9899
(318) 259-9897
Mailing address
900 PERSHING HWY, JONESBORO, LA 71251-2046
(318) 259-9899
(318) 259-9897
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8198
LA
Other
Enumeration date
05/26/2017
Last updated
07/21/2022
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