Individual
MR. ROBERT CHARLES MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
215 EDGEWATER DR, MOUNT JULIET, TN 37122-2034
(615) 290-2820
Mailing address
215 EDGEWATER DR, MOUNT JULIET, TN 37122-2034
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0000000150
TN
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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