Individual
TIFFANY MARIE HOFFMAN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LAT, ATC
Contact information
Practice address
600 N GRAND AVE, TAHLEQUAH, OK 74464-2301
(918) 688-2400
Mailing address
12214 BIG ROCK DR, RHOME, TX 76078-6069
(918) 688-2400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7749
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/27/2016
Last updated
01/07/2023
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