Individual
TIFFANY TAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PEDORTHIST
Contact information
Practice address
426 N ELM ST, HENDERSON, KY 42420-2932
(270) 869-9197
(270) 844-8045
Mailing address
4965 STATE ROUTE 56 W, DIXON, KY 42409-9552
(270) 639-7954
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
CFM03052
KY
224L00000X
Pedorthist
Primary
111358
KY
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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