Provider Demographics
NPI:1386043149
Name:MCFARLAND, TAMESHA DION (MT)
Entity Type:Individual
Prefix:
First Name:TAMESHA
Middle Name:DION
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CASTLE CT
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8055
Mailing Address - Country:US
Mailing Address - Phone:757-394-6271
Mailing Address - Fax:
Practice Address - Street 1:1712 WILROY RD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-2318
Practice Address - Country:US
Practice Address - Phone:757-538-0209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019012456225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist