Provider Demographics
NPI:1467211748
Name:LIGAS, TONITA (RN, LMT, CMLDT)
Entity Type:Individual
Prefix:
First Name:TONITA
Middle Name:
Last Name:LIGAS
Suffix:
Gender:F
Credentials:RN, LMT, CMLDT
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:
Other - Last Name:LIGAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:110 COVENTRY RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-2625
Mailing Address - Country:US
Mailing Address - Phone:304-481-2350
Mailing Address - Fax:
Practice Address - Street 1:231 3RD ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-8009
Practice Address - Country:US
Practice Address - Phone:304-481-2350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2022-3970163WM1400X
OH33.020431163WM1400X
OHRN.357345163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)