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Mr. Charles Vance Phillips IV, LMT
Massage Therapist in Chattanooga, Tennessee
NPI 1841703147

Charles Vance Phillips IV is a Massage Therapist based in Chattanooga, TN. Charles Vance Phillips IV practices in Chattanooga, TN and has the professional credentials of LMT. The NPI Number for Charles Vance Phillips IV is 1841703147 and holds a License No. 9355 (Tennessee).

The current practice location address for Charles Vance Phillips IV is 25 Cherokee Blvd Ste C, Chattanooga, TN and can be reached out via phone at 423-475-6464.

Location: 25 Cherokee Blvd Ste C, Chattanooga, TN, 37405-3838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841703147
Provider Name
Charles Vance Phillips IV
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
25 Cherokee Blvd Ste C, Chattanooga, TN, 37405-3838
Phone Number
423-475-6464
Fax Number
Provider Enumeration Date
11/08/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9355 01 TN TN MASSAGE BOARD
institution
Provider Business Practice Location Address Details
Address
25 Cherokee Blvd Ste C
City
Chattanooga
State
Tennessee
Zip
37405-3838
Phone Number
423-475-6464
Fax Number
person
Provider Business Mailing Address Details
Address
25 Cherokee Blvd Ste C
City
Chattanooga
State
Tennessee
Zip
37405-3838
Phone Number
423-475-6464
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
9355 (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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