NPI 1033464136

Tiffany Kidd, ATC

Practitioner Athletic Trainer Jacksonville, FL

Practice location

Address: 1325 San Marco Blvd Suite 102, Jacksonville, FL 32207-8568
Phone: (904) 858-7045
Fax: (904) 858-7047

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL1332 (FL)

Other Specialist/Technologist providers in Florida →

Registry record

NPI: 1033464136
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2012
Record last updated: 16 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.