Individual
MISS TIFFANY MICHELLE STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
757 E LEWIS AND CLARK PKWY STE 342, CLARKSVILLE, IN 47131-6078
(931) 561-4569
Mailing address
600 COUNTRY CLUB DR APT 72, NEW ALBANY, IN 47150-4145
(931) 561-4569
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21906841
IN
Other
Enumeration date
12/11/2019
Last updated
10/21/2020
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