Individual
TIFFANY ROSE KNIGHTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1510 E RICHARDS ST, DOUGLAS, WY 82633-2941
(307) 351-1711
Mailing address
1312 CASPAR CT, DOUGLAS, WY 82633-2856
(307) 351-1711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WY
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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