Individual
TIFFANY HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
26 MADISON ST, NEW YORK, NY 10038-1203
(914) 218-0552
Mailing address
26 MADISON STREET, NEW YORK, NY 10021
(914) 218-0552
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023711-1
NY
Other
Enumeration date
04/01/2011
Last updated
07/18/2013
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