Individual
TIFFANY LAFFERTY-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 S LAKE DR, PRESTONSBURG, KY 41653-1264
(606) 226-8492
Mailing address
215 S LAKE DR, PRESTONSBURG, KY 41653-1264
(606) 226-8492
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4987
KY
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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