Doctor Name: | TIFFANY LYNN PIEGER |
NPI Number: | 1568766889 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CMT |
License Number: | 7689 |
Business Practice Address: | 116 10th Street Evanston, WY - 82930 |
Business Phone Number: | 3072202476 |
Business Fax Number: | 3072000594 |
Mailing Address: | 116 10th Street, EVANSTON |
State: | WY |
Postal Code: | 82930 |
Phone Number: | 3072202476 |
Fax Number: | 3072000594 |
NPI Enumeration Date: | 12/29/2010 |
NPI Last Update Date: | 10/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 7689 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
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. |