Individual
MS. TIFFANIE MICHELLE PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1411 W COUNTY LINE RD, GREENWOOD, IN 46142-5249
(317) 886-5010
Mailing address
509 WREN WAY, ZIONSVILLE, IN 46077-9588
(765) 623-6145
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004505A
IN
Other
Enumeration date
10/02/2012
Last updated
07/09/2016
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