Provider Demographics
NPI:1437726569
Name:GUST, TIFFANY K (MS)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:K
Last Name:GUST
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:5484 N 2000 W
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-0600
Mailing Address - Country:US
Mailing Address - Phone:435-619-0469
Mailing Address - Fax:
Practice Address - Street 1:652 S MEDICAL CENTER DR LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7049
Practice Address - Country:US
Practice Address - Phone:435-251-3733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist