Individual
TIFFANY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
482 EMILY DR, CLARKSBURG, WV 26301-5514
(304) 326-2204
Mailing address
RR 4 BOX 301B, GRAFTON, WV 26354-9350
(304) 625-1992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2008-2501
WV
Other
Enumeration date
10/18/2009
Last updated
10/18/2009
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