Individual
TIFANIE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1558 MONTGOMERY HWY STE 7, DOTHAN, AL 36303-3300
(334) 439-0262
Mailing address
104 KENSINGTON CT, DOTHAN, AL 36303-9348
(334) 435-0471
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3879
AL
Other
Enumeration date
10/02/2018
Last updated
03/15/2019
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