Tiffany Sullivan, LMT

NPI #1386026177 in Reno, Nevada

Provider Information

NPI Number: 1386026177
Entity Type: Individual
Name: Tiffany Sullivan, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Jun 29, 2015
Last Updated: Jun 29, 2015

Practice Location

Address: 6490 S MCCARRAN BLVD
Address 2: F52
City: Reno
State: Nevada
ZIP Code: 89509-6165
Phone: (775) 400-8876

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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