Individual
TIFFANY LEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 ROSEMONT DR, COLUMBUS, GA 31904-7368
(706) 442-2380
Mailing address
1727 PENN AVE, COLUMBUS, GA 31903-2915
(706) 442-2380
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010693
GA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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