| NPI | 1538137906 |
|---|---|
| Former Name | TIFFANY NICOLE REED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA PA.200073) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: LA TPA149) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2025-08-29 |