| NPI | 1801379318 |
|---|---|
| Other Name | TISHA PAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 1011) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 03388) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |