Individual
TIFFANY GARRITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 FERN VALLEY RD, LOUISVILLE, KY 40219-1916
(502) 821-1170
Mailing address
4800 BILLTOWN RD, LOUISVILLE, KY 40299-1219
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
1168719
KY
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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