Individual
MRS. TIFFANY D HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7420 82ND ST, LUBBOCK, TX 79424-4969
(806) 866-0089
(806) 866-0091
Mailing address
7420 82ND ST, LUBBOCK, TX 79424-4969
(806) 866-0089
(806) 866-0091
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT042550
TX
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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