Individual
TACHANY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3726 SAINT JOE RD, ATKINS, AR 72823-8259
(479) 890-1261
Mailing address
PO BOX 11281, RUSSELLVILLE, AR 72812-1281
(479) 890-1261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5130
AR
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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