Individual
BERNADETTE TIFFANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, LMT,CFT
Contact information
Practice address
126 W D ST, SUITE 100C, PUEBLO, CO 81003-3451
(719) 240-3745
(719) 545-2807
Mailing address
126 W D ST, SUITE 100C, PUEBLO, CO 81003-3451
(719) 240-3745
(719) 545-2807
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0006224
CO
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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