Individual
TIFFANY STANDIFUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
618 HOOPWOOD BR, PIKEVILLE, KY 41501-7152
(606) 331-3333
Mailing address
618 HOOPWOOD BR, PIKEVILLE, KY 41501-7152
(606) 331-3333
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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