Provider Demographics
NPI:1437466596
Name:JONES, TONYA LACHEY (CMT, LMT)
Entity Type:Individual
Prefix:MS
First Name:TONYA
Middle Name:LACHEY
Last Name:JONES
Suffix:
Gender:F
Credentials:CMT, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 MOUNT VERNON RD STE E
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4257
Mailing Address - Country:US
Mailing Address - Phone:404-946-3619
Mailing Address - Fax:770-676-7127
Practice Address - Street 1:1705 MOUNT VERNON RD STE E
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-4257
Practice Address - Country:US
Practice Address - Phone:404-946-3619
Practice Address - Fax:770-676-7127
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT003738225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist