Provider Demographics
NPI:1831830025
Name:RIFFEY, TABITHA (RDH)
Entity type:Individual
Prefix:
First Name:TABITHA
Middle Name:
Last Name:RIFFEY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:TABITHA
Other - Middle Name:
Other - Last Name:RIFFEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1850 CREST RD
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-4305
Mailing Address - Country:US
Mailing Address - Phone:865-344-5885
Mailing Address - Fax:
Practice Address - Street 1:1850 CREST RD
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-4305
Practice Address - Country:US
Practice Address - Phone:865-344-5885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist