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Individual

TIFFANY MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2930 E LEFFEL LN, SPRINGFIELD, OH 45505-4540
(937) 418-5545
Mailing address
2939 KENNY RD, SUITE 195, COLUMBUS, OH 43221-2406
(937) 418-5545

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.016454
OH

Other

Enumeration date
11/18/2015
Last updated
11/18/2015
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