Letishia Lyne Eide, LMT

Specialist · Malvern, AR

Individual Active NPI

NPI number 1669687430

Practice location

910 Dyer St
Malvern, AR 72104-5253

Phone: (501) 467-4445

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NPI record

NPI: 1669687430
Entity type: Individual (Type 1)
Enumeration date: May 14, 2007
Last updated: July 8, 2007
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Specialist Primary	`174400000X`	4697	AR

Mailing address

112 Smith Loop
Malvern, AR 72104-2092

Phone: (501) 467-4445

About Letishia Eide

Letishia Lyne Eide, LMT is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 910 Dyer St, Malvern, AR 72104-5253. The NPI number 1669687430 was assigned on May 14, 2007 and the record was last updated on July 8, 2007.

Letishia Eide lists a license in the registry: #4697 (AR) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Letishia Lyne Eide, LMT?

The NPI number is 1669687430.

What is the phone number of Letishia Eide?

The phone number listed for the practice location is (501) 467-4445.

Where is Letishia Eide located?

910 Dyer St, Malvern, AR 72104-5253.

What is the taxonomy code for Letishia Eide?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.