Individual
TIFFANY WHITEAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
12300 FRISCO ST, FRISCO, TX 75033-3288
(463) 633-7349
Mailing address
3348 CANYON LAKE DR, LITTLE ELM, TX 75068-2791
(469) 446-0219
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5384
TX
Other
Enumeration date
02/20/2019
Last updated
02/26/2019
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