Individual
TIFFANY HALLACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5014 WALNUT ST APT D, KANSAS CITY, MO 64112-2641
(913) 481-7816
Mailing address
5014 WALNUT ST APT D, KANSAS CITY, MO 64112-2641
(913) 481-7816
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
2255A2300X
Athletic Trainer
2013008760
MO
Other
Enumeration date
08/17/2020
Last updated
12/29/2020
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