Provider Demographics
NPI:1821321688
Name:TALLEY, RONA ANNETTE (ND,LMT, RCR)
Entity Type:Individual
Prefix:DR
First Name:RONA
Middle Name:ANNETTE
Last Name:TALLEY
Suffix:
Gender:F
Credentials:ND,LMT, RCR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 COLD SPRING DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-1311
Mailing Address - Country:US
Mailing Address - Phone:615-361-4749
Mailing Address - Fax:615-361-4749
Practice Address - Street 1:620 COLD SPRING DR
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-1311
Practice Address - Country:US
Practice Address - Phone:615-361-4749
Practice Address - Fax:615-361-4749
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRCR0000000008173C00000X
TNMT0000000259225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist