Provider Demographics
NPI:1104786334
Name:LOVEJOY, TANIKA (LMT)
Entity type:Individual
Prefix:
First Name:TANIKA
Middle Name:
Last Name:LOVEJOY
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 1:5931 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HORN LAKE
Mailing Address - State:MS
Mailing Address - Zip Code:38637-9542
Mailing Address - Country:US
Mailing Address - Phone:440-453-0694
Mailing Address - Fax:
Practice Address - Street 1:915 FERNCLIFF CV STE 1B
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-2420
Practice Address - Country:US
Practice Address - Phone:440-453-0694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty