Individual
TIFFANY MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87106
(505) 277-5151
Mailing address
5012 BRIGHTON HILLS PL NE, RIO RANCHO, NM 87144-0825
(505) 205-8482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000039856
CO
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2018
Last updated
01/05/2021
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