Individual
JENNIFER TIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8109 COOPER CREEK BLVD, UNIVERSITY PARK, FL 34201-2004
(941) 366-1168
Mailing address
6707 64TH TER E, BRADENTON, FL 34203-8049
(941) 518-8878
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA54335
FL
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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