Individual
TIFFANY PERKINS
Active
Individual
TIFFANY PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-004770
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11903135
—
KY
01
—
184517
MEDICARE
KY
05
—
33000035
—
KY
05
—
45118379
—
KY
Enumeration date
09/22/2009
Last updated
09/23/2009
Update your record
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