Provider Demographics
NPI:1093171746
Name:WILLIAMS, TIFFANY D (ATC)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:D
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 BRIXWORTH LN
Mailing Address - Street 2:APT 06
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2047
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:129 BRIXWORTH LN
Practice Address - Street 2:APT 06
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2047
Practice Address - Country:US
Practice Address - Phone:919-819-4924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer