Provider Demographics
NPI:1902935844
Name:TILDEN, LINDA ANN (LMT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:ANN
Last Name:TILDEN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 KEELEY ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6642
Mailing Address - Country:US
Mailing Address - Phone:978-372-1310
Mailing Address - Fax:
Practice Address - Street 1:8 STILES RD
Practice Address - Street 2:STE.107
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2847
Practice Address - Country:US
Practice Address - Phone:603-890-9996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2326M225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist