Individual
TIFFANYANN TEGUIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
233 WHITE WAY ST, NETAWAKA, KS 66516-9323
(785) 933-2086
(785) 370-0768
Mailing address
425 ILLINOIS AVE, HOLTON, KS 66436-2108
(785) 851-7176
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03979
KS
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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