Individual
TIFFANY LEE LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
3540 S MAIN ST, SALT LAKE CITY, UT 84115-4435
(801) 977-9500
Mailing address
1125 W 2600 N, LAYTON, UT 84041-5312
(801) 604-8951
Taxonomy
Speciality
Code
Description
License number
State
2278P1005X
Pulmonary Rehabilitation Certified Respiratory Therapist
Primary
8406954-5701
UT
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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