Individual
AMY TANKERSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 E BROADWAY AVE, MARYVILLE, TN 37804-5740
(865) 238-4224
Mailing address
404 HUDSON ST, MARYVILLE, TN 37801-4613
(865) 238-4224
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
17334
NC
225700000X
Massage Therapist
Primary
MT10893
TN
Other
Enumeration date
01/31/2018
Last updated
12/18/2020
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