Individual
TROY TIMOTHY TIGGES
Active
Individual
TROY TIMOTHY TIGGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6195
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT6195
NM PT LICENSE
NM
Enumeration date
08/31/2022
Last updated
08/31/2022
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