Individual
FAITH NICOLE KIPHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
930 MADISON AVE DEPT OF, MEMPHIS, TN 38103-3410
(901) 448-5888
Mailing address
DEPARTMENT OF PHYSICAL THERAPY, 930 MADISON AVE, SUITE 640, MEMPHIS, TN 38163
(901) 448-2533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7589
TN
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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