Individual
TIFFANI LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
613 W LINCOLN RD, KOKOMO, IN 46902-3460
(765) 416-6630
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
99106223A
IN
Other
Enumeration date
08/25/2021
Last updated
08/31/2022
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