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Contact Information

TIFFANY COOLEY, L.AC., CFMP
2405 MORENA BLVD
SAN DIEGO, CA92110-4139
 Phone: 619-957-3303
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for TIFFANY COOLEY · (Female)

NPI # 1053539080
Status Active
Credentials L.AC., CFMP
Entity Individual
Enumeration date 04/23/2007
Last updated 10/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 16997
  • WA License # MA00023682
  • CA Other 16997 CALIFORNIA ACUPUNCTURE LICENSE
  • WA Other 200417 AMTA MEMBER
  • WA Other 217345 LABOR AND INDUSTRIES
  • WA Other MA00023682 MASSAGE LICENSE
  • WA Other 523981-06 NATIONAL CERTIFICATION
  • WA Other 602691997 UBI NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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