Provider Demographics
NPI:1922864842
Name:ARMSTRONG, TIFFANY ANNE (LMT)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:ANNE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 KUUMELE PL
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2953
Mailing Address - Country:US
Mailing Address - Phone:808-772-0667
Mailing Address - Fax:
Practice Address - Street 1:1051 KEOLU DR
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-3872
Practice Address - Country:US
Practice Address - Phone:808-262-0027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-17362225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist