Individual
MRS. TIFFANY J BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
1102 N 10TH ST, CLINTON, IA 52732-3436
(563) 249-5671
Mailing address
1102 N 10TH ST, CLINTON, IA 52732-3436
(563) 249-5671
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00382
IA
Other
Enumeration date
08/01/2007
Last updated
12/27/2016
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