Individual
TIFFANY LEANN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6832 CENTURY CIR, PLANO, TX 75023-1021
(615) 289-2203
Mailing address
6832 CENTURY CIR, PLANO, TX 75023-1021
(615) 289-2203
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT103555
TX
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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