Individual
MRS. TIFFANY KAY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
700 N PROGRESS AVE, SILOAM SPRINGS, AR 72761-4349
(417) 209-5290
Mailing address
880 PRIMROSE AVE, SILOAM SPRINGS, AR 72761-5567
(417) 209-5290
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
616
AR
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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