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NPI Code Detail

MEDICARE: TIFFANY SPITLER

MEDICARE: TIFFANY SPITLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerAT001211OH

General Provider Information

NPI Number : 1457739500
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY SPITLER
Provider Business Mailing Address
First Line : 3418 WELTY RD
Second Line :
City : LUCAS
State : OH
Zip : 44843-9729
Country : US
Telephone Number : 740-392-8828
Fax Number :
Provider Business Practice Location Address
First Line : 3418 WELTY RD
Second Line :
City : LUCAS
State : OH
Zip : 44843-9729
Country : US
Telephone Number : 740-392-8828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2015
Last Update Date : 05/09/2015

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Directions to “ TIFFANY SPITLER ” Practice Location

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