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Tony Hardaway, LMT, NCTMB
NPI 1770744328 · on the registry since 2008 · sole proprietor
Practice
- Address
- 105 W 12th St
105 W. 12th Street
Caruthersville, MO 63830 - Phone
- (573) 333-1690
- Organisation at this address
- Guardian Angels Cds, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri