| Doctor Name: | JUNG HEE TIFFANY |
| NPI Number: | 1851496541 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPT |
| License Number: | MORO723 |
| Business Practice Address: | 2810 S Jackson Ave Joplin, MO - 648042524 |
| Business Phone Number: | 4176242061 |
| Business Fax Number: | 4176242156 |
| Mailing Address: | 5094 S Burrows Ave, SPRINGFIELD |
| State: | MO |
| Postal Code: | 658102054 |
| Phone Number: | 4178868612 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | MORO723 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |