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NPI Code Detail

MEDICARE: TIFFANEY JO HILLMAN DPT

MEDICARE:   TIFFANEY JO HILLMAN  DPT
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
1225100000XPhysical TherapistPT00010611WA

General Provider Information

NPI Number : 1598961369
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANEY JO HILLMAN DPT
Provider Business Mailing Address
First Line : 6912 220TH ST SW
Second Line : SUITE 213
City : MOUNTLAKE TERRACE
State : WA
Zip : 98043-2169
Country : US
Telephone Number : 425-672-9219
Fax Number : 425-712-0717
Provider Business Practice Location Address
First Line : 6912 220TH ST SW
Second Line : SUITE 213
City : MOUNTLAKE TERRACE
State : WA
Zip : 98043-2169
Country : US
Telephone Number : 425-672-9219
Fax Number : 425-712-0717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2007
Last Update Date : 04/23/2009

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Directions to “ TIFFANEY JO HILLMAN DPT” Practice Location

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