Individual
SUSAN M TISKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1325
MS PT
RI
Enumeration date
06/19/2006
Last updated
07/13/2026
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