Individual
TABITHA HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT,MMP
Contact information
Practice address
106 VT ROUTE 107, STOCKBRIDGE, VT 05772-6701
(802) 558-9499
Mailing address
4187 VT ROUTE 100 S, ROCHESTER, VT 05767-9304
(802) 558-9499
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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