| NPI | 1235668450 |
|---|---|
| Other Name | TIFFANY JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL ma48935) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 48935) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2024-06-03 |