Individual
TIFFANI LYNN STREETMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
300 PROSPECT AVE, HOT SPRINGS, AR 71901-4003
(800) 264-5384
Mailing address
701 WELLINGTON HILLS RD APT 217, LITTLE ROCK, AR 72211-2174
(501) 282-7256
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
753
AR
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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