Individual
TIFFANY NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1001 E 11TH ST N, LADYSMITH, WI 54848-1455
(715) 532-5546
Mailing address
W6439 PAUL RD, TONY, WI 54563-9619
(715) 290-0093
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3097
WI
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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