Individual
SHAWNA TIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9913 FOUNTAIN WALK AVE, LAS VEGAS, NV 89149-3759
(702) 613-9173
Mailing address
PO BOX 33053, LAS VEGAS, NV 89133-3053
(702) 613-9173
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NVMT.9665
NV
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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