MRS. Tiffany Heather Maxwell, PTA

NPI #1063268753 in Idaho Falls, Idaho

Provider Information

NPI Number: 1063268753
Entity Type: Individual
Name: MRS. Tiffany Heather Maxwell, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 24, 2024
Last Updated: Sep 29, 2025

Practice Location

Address: 2037 E 17TH ST
City: Idaho Falls
State: Idaho
ZIP Code: 83404-6430
Phone: (208) 529-3355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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