Evans, Connie
Evans, Connie is an sole proprietor health care provider with primary practice located at 204 Harnett Ct Ste A , Clarksville TN 37043-2068. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Evans, Connie can be contacted via phone (931) 378-0553.Contact Information
Primary practice address
204 Harnett Ct Ste A
Clarksville TN 37043-2068
Phone: (931) 378-0553
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 11933 | Tennessee |
Profile Details
| NPI number | 1104397983 |
|---|---|
| LBN Legal business name | Evans, Connie |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2018 |
| Last updated | Dec 5th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104397983 | NPPES |
| Tennessee | Other | 11933 | LICENSED MASSAGE THERAPIST |
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