Tony Hardaway, LMT, NCTMB is a
Massage Therapist based in Caruthersville, Missouri. Tony Hardaway is licensed to practice in Missouri (license number 2007000188) and his current practice location is
105 W 12th St, 105 W. 12th Street, Caruthersville, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 333-1690.
NPI number for Tony Hardaway is 1770744328 and his current mailing address is 105 W 12th St, P.o. Box 727, Caruthersville, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770744328.
Healthcare Provider's Profile
| Full Name | Tony Hardaway |
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| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 105 W 12th St, Caruthersville, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770744328
- Provider Enumeration Date: 06/17/2008
- Last Update Date: 06/17/2008
Medical Identifiers
Medical identifiers for Tony Hardaway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770744328 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 2007000188 (Missouri) | 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. Tony Hardaway 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 |
|---|
Tony Hardaway, LMT, NCTMB
105 W 12th St, P.o. Box 727,
Caruthersville, MO 63830-1817
Ph: (573) 333-1690 | Tony Hardaway, LMT, NCTMB
105 W 12th St, 105 W. 12th Street,
Caruthersville, MO 63830-1817
Ph: (573) 333-1690 |
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