Provider Demographics
NPI:1699925321
Name:ARNEY, TIFFANY (DPT)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:ARNEY
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 1:6119 S 40TH ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53221-4557
Mailing Address - Country:US
Mailing Address - Phone:262-825-2354
Mailing Address - Fax:
Practice Address - Street 1:3933 S PRAIRIE HILL LN
Practice Address - Street 2:HICKORY PARK - APT 316
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53228-2371
Practice Address - Country:US
Practice Address - Phone:414-546-3371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11078-024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist