Provider Demographics
NPI:1982043444
Name:TIPPETT, JOANN (PT)
Entity Type:Individual
Prefix:MS
First Name:JOANN
Middle Name:
Last Name:TIPPETT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3727 BUCHANAN ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-5410
Mailing Address - Country:US
Mailing Address - Phone:415-614-0590
Mailing Address - Fax:415-567-7355
Practice Address - Street 1:77 BATTERY ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-5537
Practice Address - Country:US
Practice Address - Phone:415-318-8138
Practice Address - Fax:415-956-3352
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA389862251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic