Individual
TIFFANY E NATIONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
720 W 1ST ST, COFFEYVILLE, KS 67337-3854
(615) 896-6400
Mailing address
901 N LEE ST, COFFEYVILLE, KS 67337-1086
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103799
KS
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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