Healthcare Provider Details

I. General information

NPI: 1730050592
Provider Name (Legal Business Name): TAMMY LOUISE TOFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

491 COURT ST
RENO NV
89501-1708
US

IV. Provider business mailing address

491 COURT ST
RENO NV
89501-1708
US

V. Phone/Fax

Practice location:
  • Phone: 775-525-8103
  • Fax: 775-525-8105
Mailing address:
  • Phone: 775-525-8103
  • Fax: 775-525-8105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: