Individual
TISHA WINDLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
210 2ND ST, SAINT MARYS, WV 26170-1097
(304) 699-1419
(304) 586-6424
Mailing address
210 2ND ST, SAINT MARYS, WV 26170-1097
(304) 699-1419
(304) 586-6424
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2017-3540
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017-3540
LMT LICENSE
WV
Enumeration date
06/01/2020
Last updated
06/01/2020
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