Provider Demographics
NPI:1003412784
Name:HOUGHTON, TONYA MARIE (ND)
Entity Type:Individual
Prefix:DR
First Name:TONYA
Middle Name:MARIE
Last Name:HOUGHTON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 W MCCLENDON ST
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-4346
Mailing Address - Country:US
Mailing Address - Phone:352-405-6733
Mailing Address - Fax:
Practice Address - Street 1:219 W MCCLENDON ST
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-4346
Practice Address - Country:US
Practice Address - Phone:352-405-6733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath