Provider Demographics
NPI:1093009136
Name:FLOYD, ROBIN MICHELE (LMT)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:MICHELE
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:MICHELE
Other - Last Name:DANIELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1690 SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37876-7241
Mailing Address - Country:US
Mailing Address - Phone:865-292-3031
Mailing Address - Fax:865-436-6615
Practice Address - Street 1:951 E PARKWAY
Practice Address - Street 2:
Practice Address - City:GATLINBURG
Practice Address - State:TN
Practice Address - Zip Code:37738-4914
Practice Address - Country:US
Practice Address - Phone:865-436-6601
Practice Address - Fax:865-436-6615
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000005897225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist