MEDICARE: TIFFANY ADELE SANDISON PT

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
1	225100000X	Physical Therapist	LPT-005787	AZ

General Provider Information

NPI Number	:	1952234171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY ADELE SANDISON PT

Provider Business Mailing Address
First Line	:	8703 E GOLF LINKS RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85730-1301
Country	:	US
Telephone Number	:	520-514-1114
Fax Number	:	520-514-2144

Provider Business Practice Location Address
First Line	:	8703 E GOLF LINKS RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85730-1301
Country	:	US
Telephone Number	:	520-514-1114
Fax Number	:	520-514-2144

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2026
Last Update Date	:	06/06/2026

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Directions to “ TIFFANY ADELE SANDISON PT” Practice Location

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