Individual
TIFFANY BROOKE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1735 WALNUT ST, KANSAS CITY, MO 64108-1315
(816) 216-8778
(816) 817-0818
Mailing address
7507 E 108TH TER, KANSAS CITY, MO 64134-2819
(816) 868-5919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2016044537
MO
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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