Doctor Name: | TIFFANY N. JOHNSON |
NPI Number: | 1376966531 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C., LMT |
License Number: | 6872 |
Business Practice Address: | 547 Miller Rd Suite A Sumter, SC - 291503332 |
Business Phone Number: | 8039389000 |
Business Fax Number: | |
Mailing Address: | 547 Miller Rd, Suite A SUMTER |
State: | SC |
Postal Code: | 291503332 |
Phone Number: | 8039389000 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2014 |
NPI Last Update Date: | 01/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 6872 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |