Provider Demographics
NPI:1467480954
Name:MYERS, RHONDA (LMT)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:
Last Name:MYERS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 681
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37364-0681
Mailing Address - Country:US
Mailing Address - Phone:423-476-3099
Mailing Address - Fax:423-476-1862
Practice Address - Street 1:225 2ND ST NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-5014
Practice Address - Country:US
Practice Address - Phone:423-476-3099
Practice Address - Fax:423-476-1862
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1749175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath