Individual
TIFFANY WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
500 E COLLEGE ST, MARSHALL, MO 65340-3109
(660) 831-4195
Mailing address
500 E COLLEGE ST, MARSHALL, MO 65340-3109
(660) 831-4195
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2014031267
MO
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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