# MRS. TIAA C. HARTLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770139511
- **Gender:** F
- **Credential:** D.AC, L.AC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U02667 | MD | Yes |
| 171400000X | Health & Wellness Coach | A-3087586 | MD | — |

## Other

- **Enumeration date:** 08/16/2019
- **Last updated:** 03/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 764013700 | — | MD |