Tiffany Amber Elo, PTA
Physical Medicine & Rehabilitation in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1114601366
StatusActive
Last updated in NPPESJun 9, 2023
Details
- NPI
- 1114601366
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Amber Elo
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2023
- Certification date
- Jun 9, 2023
- Last updated
- Jun 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 5502008270 | MI | Yes |
Practice location
1771 Knapp St Ne Unit 2Grand Rapids, MI 49505-4501
Phone 231-510-1410
Mailing address
2000 Leonard St NeGrand Rapids, MI 49505-5837
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All 106 Physical Medicine & Rehabilitation Physician providers in Grand Rapids · All 20,987 providers in Grand Rapids
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