Individual
TANISHA MICHELLE MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 CENTRAL AVE, DAYTON, OH 45406-5572
(937) 430-6226
Mailing address
5010 CALIPH CT, DAYTON, OH 45406-3105
(614) 531-2797
(614) 531-2797
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TNTN505026
—
OH
Enumeration date
03/05/2025
Last updated
03/05/2025
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