Individual
MRS. ANGELA KAY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
453 VISTA DR, SPARTA, TN 38583-1360
(931) 837-7546
(931) 738-8911
Mailing address
457 VISTA DR, SPARTA, TN 38583-1360
(931) 738-3383
(931) 738-8911
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000004797
TN
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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