Tiffany Dawn Waters, PT | |
260 Lake Ridge Trl, Jonesboro, LA 71251-6621 | |
(318) 245-4332 | |
Not Available |
Full Name | Tiffany Dawn Waters |
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Gender | Female |
Speciality | Physical Therapist |
Location | 260 Lake Ridge Trl, Jonesboro, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356964670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 04075 (Louisiana) | Primary |
Provider Name | Trucare Home Health, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659379188 PECOS PAC ID: 3274626080 Enrollment ID: O20200504000024 |
Mailing Address | Practice Location Address |
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Tiffany Dawn Waters, PT 260 Lake Ridge Trl, Jonesboro, LA 71251-6621 Ph: (318) 245-4332 | Tiffany Dawn Waters, PT 260 Lake Ridge Trl, Jonesboro, LA 71251-6621 Ph: (318) 245-4332 |
Warren J Weber, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 Pershing Hwy, Jonesboro, LA 71251 Phone: 318-259-9899 Fax: 318-259-9897 | |
Janet Jacobsen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Pershing Hwy, Jonesboro, LA 71251 Phone: 318-259-9899 Fax: 318-259-9897 | |
Mr. Francis John Kilbride, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Pershing Hwy, Jonesboro, LA 71251 Phone: 318-259-9899 | |
Jerry V Yarborough, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 Pershing Hwy, Jonesboro, LA 71251 Phone: 318-259-9899 Fax: 318-259-9897 | |
Chelsea Dewees, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Pershing Hwy, Jonesboro, LA 71251 Phone: 318-259-9899 | |
Don Honaker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 Pershing Hwy, Jonesboro, LA 71251 Phone: 318-259-9899 Fax: 318-259-9897 |