Individual
TIFFANY M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
540 HUGHES RD, SUITE 8, MADISON, AL 35758-8999
(256) 461-9654
(256) 461-9728
Mailing address
1267 ENTERPRISE WAY NW STE B, HUNTSVILLE, AL 35806-4472
(256) 713-1872
(256) 713-1873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8499
TN
225100000X
Physical Therapist
Primary
PTH5807
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
01
—
051112329
BCBS
—
01
—
51109605
BCBS
AL
Enumeration date
09/25/2009
Last updated
02/01/2023
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