Individual
DR. TIFFANY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CREBT
Contact information
Practice address
45 E MONTEREY WAY # 202A, PHOENIX, AZ 85012-2753
(602) 791-0199
Mailing address
45 E MONTEREY WAY # 202A, PHOENIX, AZ 85012-2753
(602) 791-0199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
224Y00000X
Clinical Exercise Physiologist
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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