Individual
TIFFANY SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
626 GUIDICI ST, JACKSON, MS 39204-3105
(601) 354-0432
Mailing address
626 GUIDICI ST, JACKSON, MS 39204-3105
(601) 354-0432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5085
MS
Other
Enumeration date
12/14/2015
Last updated
08/26/2022
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