Provider Demographics
NPI:1679183180
Name:JONES, TEISHA KAY (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:TEISHA
Middle Name:KAY
Last Name:JONES
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 N PECOS RD STE A
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-3379
Mailing Address - Country:US
Mailing Address - Phone:702-476-1110
Mailing Address - Fax:
Practice Address - Street 1:80 N PECOS RD STE A
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-3379
Practice Address - Country:US
Practice Address - Phone:702-476-1110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-10
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5210225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty