Individual
MRS. DAELENE SUEANN TIBBITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1665 E 5TH N, MOUNTAIN HOME, ID 83647
(208) 598-5047
Mailing address
1665 E 5TH N, MOUNTAIN HOME, ID 83647
(208) 598-5047
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-4637
ID
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us