person
Tina G Evans, MASSAGETHERAPIST
Specialist in Port Orange, Florida
NPI 1649488933

Tina G Evans is a Specialist based in Port Orange, FL. Tina G Evans practices in Port Orange, FL and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Tina G Evans is 1649488933 and holds a License No. MA34834 (Florida).

The current practice location address for Tina G Evans is 16 Black Jack Cir, Port Orange, FL and can be reached out via phone at 386-756-0505.

Location: 16 Black Jack Cir, Port Orange, FL, 32128-6771
person
Provider Profile Details
NPI Number
1649488933
Provider Name
Tina G Evans
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Female
Address
16 Black Jack Cir, Port Orange, FL, 32128-6771
Phone Number
386-756-0505
Fax Number
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA34834 01 FL MASSAGE LICENSE
institution
Provider Business Practice Location Address Details
Address
16 Black Jack Cir
City
State
Zip
32128-6771
Phone Number
386-756-0505
Fax Number
person
Provider Business Mailing Address Details
Address
16 Black Jack Cir
City
State
Zip
32128-6771
Phone Number
386-756-0505
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MA34834 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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