Individual
MRS. TIFFANY GRACE PRANGNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, ATC
Contact information
Practice address
411 HUKU LII PL STE 101, KIHEI, HI 96753-7062
(808) 879-0077
(808) 879-0177
Mailing address
411 HUKU LII PL STE 101, KIHEI, HI 96753-7062
(808) 879-0077
(808) 879-9602
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1830
HI
Other
Enumeration date
04/11/2006
Last updated
03/19/2020
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