Individual
TIFFANY EIKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15425 MANCHESTER RD STE 28, BALLWIN, MO 63011-3077
(636) 220-6969
Mailing address
15425 MANCHESTER RD STE 28, BALLWIN, MO 63011-3077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2021008140
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021008140
COMMERCIAL PAYERS
MO
Enumeration date
04/19/2021
Last updated
04/19/2021
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