Provider Demographics
NPI:1487407763
Name:DOBSON, TONYA ARMSTRONG (LMBT)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:ARMSTRONG
Last Name:DOBSON
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4009 CORNING PL STE E2-373
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-1299
Mailing Address - Country:US
Mailing Address - Phone:704-292-4419
Mailing Address - Fax:
Practice Address - Street 1:10215 HICKORYWOOD HILL AVE
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3428
Practice Address - Country:US
Practice Address - Phone:704-292-4419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20990225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist