Provider Demographics
NPI:1437238722
Name:PIFFARD, TARYN HOPKINS (PT)
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:HOPKINS
Last Name:PIFFARD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CARDEROCK CT
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-7901
Mailing Address - Country:US
Mailing Address - Phone:864-363-6320
Mailing Address - Fax:
Practice Address - Street 1:3 CARDEROCK CT
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29680-7901
Practice Address - Country:US
Practice Address - Phone:864-363-6320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4435225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist