Individual
MS. TAMMY LYNN COGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT #LA4024-01
Contact information
Practice address
297 PENNSYLVANIA AVE, SHREVEPORT, LA 71105-3326
(318) 469-1225
(318) 868-3483
Mailing address
297 PENNSYLVANIA AVE, SHREVEPORT, LA 71105-3326
(318) 469-1225
(318) 868-3483
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
225700000X
LA
225700000X
Massage Therapist
LMT #4024-01
LA
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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