Individual
TIFFANI GAITERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
498 POPLAR ST, MACON, GA 31201-3399
(478) 746-7246
(478) 746-7241
Mailing address
498 POPLAR ST, MACON, GA 31201-3399
(478) 746-7246
(478) 746-7241
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT009126
GA
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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