Provider Demographics
NPI:1083031744
Name:NEAL, TIFFANY SAENZ (PT, DPT)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:SAENZ
Last Name:NEAL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8706 SONORA PASS
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4481
Mailing Address - Country:US
Mailing Address - Phone:210-621-3505
Mailing Address - Fax:
Practice Address - Street 1:45 NW INTERSTATE 410 LOOP FRONTAGE RD
Practice Address - Street 2:690
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216
Practice Address - Country:US
Practice Address - Phone:210-457-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12198892251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics