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Individual

MRS. TIFFANY SARAH CAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
850 W IRONWOOD DR STE 104, COEUR D ALENE, ID 83814-4903
(208) 664-5225
Mailing address
1010 W MULBERRY LN, COEUR D ALENE, ID 83815-7967
(288) 916-6364

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2726
ID

Other

Enumeration date
11/18/2022
Last updated
11/18/2022
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