Rucker, Tatayna Kiaschwan

Rucker, Tatayna Kiaschwan is an sole proprietor health care provider with primary practice located at 1781 Liberty Ln Apt 55 , Blacksburg VA 24060-6715. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Rucker, Tatayna Kiaschwan can be contacted via phone (434) 826-9205.

Contact Information

Primary practice address
1781 Liberty Ln Apt 55 Blacksburg VA 24060-6715
Phone: (434) 826-9205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 0019010031 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1508608860
LBN Legal business name Rucker, Tatayna Kiaschwan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2024
Last updated Jul 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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