Individual
TIFFANY WELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-7776
Mailing address
1725 N PROSPECT AVE APT 911, MILWAUKEE, WI 53202-1978
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2540
WI
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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