| Doctor Name: | MS. TIFFINEY SHAWN BENTLEY |
| NPI Number: | 1306028097 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T.,M.S. |
| License Number: | 004678 |
| Business Practice Address: | 141 E 2nd Ave Ste 100 Williamson, WV - 256613601 |
| Business Phone Number: | 3042359781 |
| Business Fax Number: | 3042359782 |
| Mailing Address: | 141 E 2nd Ave, WILLIAMSON |
| State: | WV |
| Postal Code: | 256613601 |
| Phone Number: | 3042359781 |
| Fax Number: | 3042359782 |
| NPI Enumeration Date: | 12/04/2007 |
| NPI Last Update Date: | 03/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 004678 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |