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Tiffany L Powell, MT
Massage Therapist in Racine, Wisconsin
NPI 1861079550

Tiffany L Powell is a Massage Therapist based in Racine, WI. Tiffany L Powell practices in Racine, WI and has the professional credentials of MT. The NPI Number for Tiffany L Powell is 1861079550 and holds a License No. 14889-146 (Wisconsin).

The current practice location address for Tiffany L Powell is 3245 Packer Dr # 103, Racine, WI and can be reached out via phone at 530-414-8715.

Location: 3245 Packer Dr # 103, Racine, WI, 53404-1151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861079550
Provider Name
Tiffany L Powell
Credential
MT
Provider Entity Type
Individual
Gender
Female
Address
3245 Packer Dr # 103, Racine, WI, 53404-1151
Phone Number
530-414-8715
Fax Number
Provider Enumeration Date
03/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3245 Packer Dr # 103
City
Racine
State
Wisconsin
Zip
53404-1151
Phone Number
530-414-8715
Fax Number
person
Provider Business Mailing Address Details
Address
3245 Packer Dr # 103
City
Racine
State
Wisconsin
Zip
53404-1151
Phone Number
530-414-8715
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
14889-146 (Wisconsin)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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