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Organization
AESTHETICA PLLC
Active
Organization
AESTHETICA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY HARRIS PHD, CMOT, CSCS (OWNER/CEO)
(602) 791-0199
Entity
Organization
Contact information
Practice address
45 E MONTEREY WAY STE 202, PHOENIX, AZ 85012-2757
(602) 791-0199
Mailing address
45 E MONTEREY WAY STE 202, PHOENIX, AZ 85012-2757
(602) 791-0199
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
224Y00000X
Clinical Exercise Physiologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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