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Contact Information

TIFANI WAECHTLER, PT
43 NORTH 100 EAST
PRESTON, ID83263
 Phone: 208-852-0116
 Fax: 208-852-0116
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TIFANI WAECHTLER · (Female)

NPI Number 1144313610
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 10/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ID License # RPT-1129
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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