Most Relevant Information
Provider Data
| NPI Number: | 1003484171 |
| Provider Name: | TIFFANY ANN WAX LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA61160854 |
Most Important Dates
| Enumeration Date: | 06/15/2021 |
| Last Updated: | 01/15/2022 |
Provider Practice Location
2312 N CHERRY ST STE 100
SPOKANE VALLEY
WA
992162852
Practice Location Phone/Fax
| Phone: | 5099038088 |
| Fax: |
Provider Mailing Location
2312 N CHERRY ST STE 100
SPOKANE VALLEY
WA
992162852
Provider Mailing Phone/Fax
| Phone: | 5099038088 |
| Fax: |