Provider Demographics
NPI:1437445350
Name:PRIEST, TIFFANY ELAINE (PT, DPT, CLT)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:ELAINE
Last Name:PRIEST
Suffix:
Gender:F
Credentials:PT, DPT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 INTERNATIONAL DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1762
Mailing Address - Country:US
Mailing Address - Phone:615-224-9818
Mailing Address - Fax:615-224-9862
Practice Address - Street 1:101 INTERNATIONAL DR
Practice Address - Street 2:SUITE 102
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1762
Practice Address - Country:US
Practice Address - Phone:615-224-9818
Practice Address - Fax:615-224-9862
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2013-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9494225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist