Provider Demographics
NPI:1083437578
Name:ZEPEDA, TIFFANY (DPT)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:
Last Name:ZEPEDA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-4172
Mailing Address - Country:US
Mailing Address - Phone:323-635-0605
Mailing Address - Fax:
Practice Address - Street 1:2303 S TOWNSEND AVE STE E
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5452
Practice Address - Country:US
Practice Address - Phone:970-787-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy