Provider Demographics
NPI:1386885242
Name:JONES, CHIQUITA LINAIL (LICENSED MASSAGE THE)
Entity type:Individual
Prefix:MISS
First Name:CHIQUITA
Middle Name:LINAIL
Last Name:JONES
Suffix:
Gender:F
Credentials:LICENSED MASSAGE THE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CONIFER DR
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-3901
Mailing Address - Country:US
Mailing Address - Phone:706-284-1092
Mailing Address - Fax:
Practice Address - Street 1:451 BROAD ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-1519
Practice Address - Country:US
Practice Address - Phone:706-284-1092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT005546225700000X
SC6188225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist