Individual provider · Type 1 NPI
Tiffany Tapp, LICENSED PEDORTHIST
Pedorthist · Henderson, KY
NPI number
1629519681
Active
Practice location
426 N Elm St
Henderson, KY 42420-2932
Fax (270) 844-8045
Mailing address
4965 State Route 56 W
Dixon, KY 42409-9552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter | 224900000X | CFM03052 (KY) |
| Pedorthist Primary | 224L00000X | 111358 (KY) |
Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
Another provider at this address
About NPI 1629519681
Tiffany Tapp, LICENSED PEDORTHIST's National Provider Identifier is 1629519681, issued on Mar 10, 2017. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Henderson, KY. The record was last updated on Mar 10, 2017.