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Individual
TIFFANY COOLEY
Active
Individual
TIFFANY COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., CFMP
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16997
CA
225700000X
Massage Therapist
MA00023682
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16997
CALIFORNIA ACUPUNCTURE LICENSE
CA
01
—
200417
AMTA MEMBER
WA
01
—
217345
LABOR AND INDUSTRIES
WA
01
—
523981-06
NATIONAL CERTIFICATION
WA
01
—
602691997
UBI NUMBER
WA
01
—
MA00023682
MASSAGE LICENSE
WA
Enumeration date
04/23/2007
Last updated
10/23/2024
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