TIFFANY HEATHER MAXWELL

IDAHO FALLS, ID
NPI1063268753
Former NameTIFFANY HEATHER PACKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA5326)
Enumeration Date2024-04-24
Last Update Date2025-09-29
Business Address
Mrs. TIFFANY HEATHER MAXWELL PTA
2037 E 17TH ST
IDAHO FALLS, ID 83404-6430
Phone number: 208-529-3355
Mailing Address
Mrs. TIFFANY HEATHER MAXWELL PTA
2037 E 17TH ST
IDAHO FALLS, ID 83404-6430
Phone number: 208-529-3355
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