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Tiffany Whiteaker, ATC, LAT

Specialist/Technologist, Athletic Trainer in Frisco, TX. Individual provider (NPI-1).

NPI number1699232124
StatusActive
Last updated in NPPESFeb 26, 2019

Details

NPI
1699232124
Entity type
Individual (NPI-1)
Name
Tiffany Whiteaker
Credential
ATC, LAT
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2019
Last updated
Feb 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT5384TXYes

Practice location

12300 Frisco St
Frisco, TX 75033-3288

Phone 463-633-7349

Mailing address

3348 Canyon Lake Dr
Little Elm, TX 75068-2791

Phone 469-446-0219

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