MEDICARE: TIFFANY FRANKS

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	225200000X	Physical Therapy Assistant	PTA 13321	CO
2	225200000X	Physical Therapy Assistant	PTA 5406	TN

General Provider Information

NPI Number	:	1225455868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY FRANKS

Provider Business Mailing Address
First Line	:	815 DOUBLE SPRINGS LOOP
Second Line	:
City	:	SAVANNAH
State	:	TN
Zip	:	38372-5334
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 DOUBLE SPRINGS LOOP
Second Line	:
City	:	SAVANNAH
State	:	TN
Zip	:	38372-5334
Country	:	US
Telephone Number	:	731-438-1908
Fax Number	:

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

Provider Enumeration Date	:	03/20/2014
Last Update Date	:	03/20/2014

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Directions to “ TIFFANY FRANKS ” Practice Location

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