Tiffany Maxwell

NPI #1780182444 in Isanti, Minnesota

Provider Information

NPI Number: 1780182444
Entity Type: Individual
Name: Tiffany Maxwell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jan 29, 2018
Last Updated: Dec 20, 2022

Practice Location

Address: 300 5TH AVE SW
City: Isanti
State: Minnesota
ZIP Code: 55040
Phone: (763) 688-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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