Individual
MR. JEFFREY BRENT TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1492 S INDEPENDENCE BLVD STE 100, VIRGINIA BEACH, VA 23462-5252
(757) 632-0974
Mailing address
1012 VALMIRE DR, CHESAPEAKE, VA 23320-4730
(239) 220-8840
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019017830
VA
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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