Tiffany Nudcha Burgess

NPI #1639518681 in Rexburg, Idaho

Provider Information

NPI Number: 1639518681
Entity Type: Individual
Name: Tiffany Nudcha Burgess
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 21, 2013
Last Updated: Jun 21, 2013

Practice Location

Address: 393 E 2ND N
City: Rexburg
State: Idaho
ZIP Code: 83440-1605
Phone: (208) 359-9570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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