Individual
SANERICA TANISHA GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2704 SHED RD APT 126D, BOSSIER CITY, LA 71111-3307
(318) 455-8291
Mailing address
PO BOX 5097, BOSSIER CITY, LA 71171-5097
(318) 455-8291
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6854
LA
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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