Tiffany Diann Harders, CPO

NPI #1780244897 in Cheyenne, Wyoming

Provider Information

NPI Number: 1780244897
Entity Type: Individual
Name: Tiffany Diann Harders, CPO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: CPO
Enumeration Date: Jun 20, 2019
Last Updated: May 16, 2022

Practice Location

Address: 2016 S GREELEY HWY UNIT 16B
City: Cheyenne
State: Wyoming
ZIP Code: 82007-3793
Phone: (307) 316-3098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X
Prosthetist	224P00000X	Primary

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