| Miss Tabitha Ivy, LMT | |
|
7656 Jefferson Hwy, Suite 1a, Baton Rouge, LA 70809-1389 | |
| (225) 928-8686 | |
| (225) 928-8485 |
| Full Name | Miss Tabitha Ivy |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 7656 Jefferson Hwy, Baton Rouge, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396080818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | LA4509 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Tabitha Ivy, LMT 7656 Jefferson Hwy, Suite 1a, Baton Rouge, LA 70809-1389 Ph: (225) 928-8686 | Miss Tabitha Ivy, LMT 7656 Jefferson Hwy, Suite 1a, Baton Rouge, LA 70809-1389 Ph: (225) 928-8686 |
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