Individual
MRS. TIFFANY R STOOTS
Active
Individual
MRS. TIFFANY R STOOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
104876
MN
225X00000X
Occupational Therapist
3725
TN
225XH1200X
Hand Occupational Therapist
173085
KY
225XH1200X
Hand Occupational Therapist
2021023097
MO
225XH1200X
Hand Occupational Therapist
Primary
31008674A
IN
225XP0019X
Physical Rehabilitation Occupational Therapist
3309
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104876
LICENSE
MN
01
—
173085
LICENSE
KY
01
—
2021023097
LICENSE
MO
01
—
31008674A
LICENSE
IN
Enumeration date
06/06/2007
Last updated
01/23/2026
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