Individual
TIFFANY GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1043 MAKAWAO AVE STE 205C, MAKAWAO, HI 96768-9465
(808) 646-0930
Mailing address
35 W 8TH AVE, EUGENE, OR 97401-2901
(541) 686-4461
(541) 686-4465
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18665
OR
Other
Enumeration date
05/12/2015
Last updated
11/13/2020
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