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NPI Code Detail

MEDICARE: MS. TIFFINY LANGANKE PTA

MEDICARE: MS. TIFFINY LANGANKE PTA
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
1225200000XPhysical Therapy AssistantP1 60238163WA

General Provider Information

NPI Number : 1497186746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TIFFINY LANGANKE PTA
Provider Business Mailing Address
First Line : 32115 105TH PL SE APT B101
Second Line :
City : AUBURN
State : WA
Zip : 98092-4744
Country : US
Telephone Number : 360-280-8441
Fax Number :
Provider Business Practice Location Address
First Line : 22659 PACIFIC HWY S
Second Line : SUITE 201
City : DES MOINES
State : WA
Zip : 98198-5155
Country : US
Telephone Number : 206-824-3668
Fax Number : 206-824-3964
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2013
Last Update Date : 12/11/2013

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