MRS. Tifani Waechtler, PT

NPI #1144313610 in Preston, Idaho

Provider Information

NPI Number
1144313610
Entity Type
Individual
Name
MRS. Tifani Waechtler, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Oct 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
43 NORTH 100 EAST
State
Idaho
ZIP Code
83263
Phone
(208) 852-0116

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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