Mrs Vivian Madison Mahoney, LMT is a
Massage Therapist based in Gatlinburg, Tennessee. Mrs Vivian Madison Mahoney is licensed to practice in Tennessee (license number TN 2489) and her current practice location is
740 W Highland Dr, Gatlinburg, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 436-3573.
NPI number for Mrs Vivian Madison Mahoney is 1548288764 and her current mailing address is 740 W Highland Dr, Gatlinburg, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548288764.
Healthcare Provider's Profile
| Full Name | Mrs Vivian Madison Mahoney |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 740 W Highland Dr, Gatlinburg, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548288764
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Vivian Madison Mahoney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548288764 | NPI | - | NPPES |
| C5116 | Other | FL | BLUE CROSS BLUE SHIELD FL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | TN 2489 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Vivian Madison Mahoney is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Vivian Madison Mahoney, LMT 740 W Highland Dr, Gatlinburg, TN 37738-5529 Ph: (865) 436-3573 | Mrs Vivian Madison Mahoney, LMT 740 W Highland Dr, Gatlinburg, TN 37738-5529 Ph: (865) 436-3573 |
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