Organization
TISSUE ISSUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI HALE-TINNER (CEO)
(850) 725-3061
Entity
Organization
Contact information
Practice address
24 GLENDALE AVE STE F, BAXLEY, GA 31513-0245
(850) 725-3061
(912) 705-3061
Mailing address
24 GLENDALE AVE STE F, BAXLEY, GA 31513-0245
(850) 725-3061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT004305
ALL
GA
Enumeration date
10/25/2022
Last updated
03/26/2024
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