Individual
TIFFANY DEETTE WHEELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8401 DOUGLAS AVE STE 7, URBANDALE, IA 50322-2910
(515) 850-0847
Mailing address
8300 43RD AVE, PROLE, IA 50229-9023
(515) 321-5460
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
107232
IA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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