National Provider Identifier

Tifanie Jeanne Keough, MSPT

Tifanie Jeanne Keough, MSPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Elmira, NY and a listed phone number of (607) 737-4131.

NPI 1982814265Elmira, NYPhysical Therapist

Profile Overview

NPI
1982814265
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
May 23, 2007
Last Updated
July 08, 2007

Practice Location

  • 600 Roe Ave
  • Elmira, NY 14905-1629

Phone: (607) 737-4131

Mailing Address

  • 82 Scott Ave
  • Elmira, NY 14905-2018

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1982814265
Entity Type
Individual
Last Name
Keough
First Name
Tifanie
Middle Name
Jeanne
Credential
MSPT
Mailing Street Address
82 Scott Ave
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-2018
Mailing Country
US
Mailing Phone
(607) 331-1407
Practice Street Address
600 Roe Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1629
Practice Country
US
Practice Phone
(607) 737-4131
Enumeration Date
May 23, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)