Individual
TANISHA LATERRESE SCOTT-FENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
702 COMMERCE CT STE A, PRATTVILLE, AL 36066-7502
(334) 333-1632
(334) 621-1842
Mailing address
1329 CROWS PASS, PRATTVILLE, AL 36067-8516
(205) 294-0036
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
50066
AL
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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