Individual
TINA CROWNOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CLT
Contact information
Practice address
660 MONTE CARLO DR, ANTIOCH, TN 37013-4431
(615) 974-5519
Mailing address
660 MONTE CARLO DR, ANTIOCH, TN 37013-4431
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
967
TN
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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