Provider Demographics
NPI:1790085678
Name:THORNTON, RODNEY LAMAR SR (LMT)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:LAMAR
Last Name:THORNTON
Suffix:SR
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7047 LEE HIGHWAY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1793
Mailing Address - Country:US
Mailing Address - Phone:423-752-3015
Mailing Address - Fax:
Practice Address - Street 1:7047 LEE HWY
Practice Address - Street 2:SUITE 301
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1793
Practice Address - Country:US
Practice Address - Phone:423-752-3015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMT7475173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist