Individual
TIFFANY ALBRACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 N KEENE ST STE 102, COLUMBIA, MO 65201-8145
(573) 874-0001
Mailing address
200 N KEENE ST STE 102, COLUMBIA, MO 65201-8145
(573) 874-0001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1273480
TX
225100000X
Physical Therapist
Primary
2021013136
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359390101
—
TX
01
—
8FBA57
BCBS
TX
Enumeration date
06/06/2016
Last updated
01/19/2022
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