Individual provider · Type 1 NPI
Tiffany Randle
Massage Therapist · Lawrenceville, GA
NPI number
1144825522
Active
Practice location
1104 Realm Ln
Lawrenceville, GA 30044-2676
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT011209 (GA) |
Massage Therapist: 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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About NPI 1144825522
Tiffany Randle's National Provider Identifier is 1144825522, issued on Dec 2, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lawrenceville, GA. The record was last updated on Dec 2, 2020.