Melton, Tiffany

Melton, Tiffany is an individual health care provider with primary practice located at 385 Highway 65 N , Conway AR 72032-3506. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Melton, Tiffany can be contacted via phone (817) 688-5865.

Contact Information

Primary practice address
385 Highway 65 N Conway AR 72032-3506
Phone: (817) 688-5865
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 3050 Arkansas

Profile Details

NPI number 1235307364
LBN Legal business name Melton, Tiffany
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2008
Last updated Aug 1st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235307364 NPPES
Arkansas MEDICAID 166894721

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