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Mrs. Vivian Madison Mahoney, LMT
Massage Therapist in Gatlinburg, Tennessee
NPI 1548288764

Vivian Madison Mahoney is a Massage Therapist based in Gatlinburg, TN. Vivian Madison Mahoney practices in Gatlinburg, TN and has the professional credentials of LMT. The NPI Number for Vivian Madison Mahoney is 1548288764 and holds a License No. TN 2489 (Tennessee).

The current practice location address for Vivian Madison Mahoney is 740 W Highland Dr, Gatlinburg, TN and can be reached out via phone at 865-436-3573 and via fax at 888-822-5006.

Location: 740 W Highland Dr, Gatlinburg, TN, 37738-5529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548288764
Provider Name
Vivian Madison Mahoney
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
740 W Highland Dr, Gatlinburg, TN, 37738-5529
Phone Number
865-436-3573
Fax Number
888-822-5006
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C5116 01 FL BLUE CROSS BLUE SHIELD FL
institution
Provider Business Practice Location Address Details
Address
740 W Highland Dr
City
Gatlinburg
State
Tennessee
Zip
37738-5529
Phone Number
865-436-3573
Fax Number
888-822-5006
person
Provider Business Mailing Address Details
Address
740 W Highland Dr
City
Gatlinburg
State
Tennessee
Zip
37738-5529
Phone Number
865-436-3573
Fax Number
888-822-5006
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
TN 2489 (Tennessee)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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