Tiffany Marie Bogle, DPT
Physical Therapist in Lebanon, TN. Individual provider (NPI-1).
NPI number1922467471
StatusActive
Last updated in NPPESDec 12, 2024
Details
- NPI
- 1922467471
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Marie Bogle
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2016
- Certification date
- Dec 12, 2024
- Last updated
- Dec 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT10753 | TN | Yes |
Other names
- Tiffany Marie McNamee (Former Name)
Practice location
1427 W Baddour Pkwy Ste ALebanon, TN 37087-3062
Phone 615-444-1408 · Fax 615-444-1393
Mailing address
112 Bradford BlvdSuite 500
Gordonsville, TN 38563-4600
Phone 615-683-3010 · Fax 615-683-3016
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All 70 Physical Therapist providers in Lebanon · All 1,094 providers in Lebanon
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