DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIFFANY ANN KOBORDO, ATC, OTC

Active Sole Proprietor

TIFFANY ANN KOBORDO, ATC, OTC is a 246ZX2200X healthcare provider located in VAIL, Colorado. NPI 1124485537 is currently active in the NPPES registry. Verify at CMS.

246ZX2200X · VAIL, CO

Registration Details

NPI Number
1124485537
Provider Type
Individual
Gender
Female
NPI Issued
Jan 15, 2016 (10.62513906571 yrs)
Last Updated
Jan 15, 2016
Licenses
SA.0002071 (CO)
15-1138
Sole Proprietor
Yes

Practice Information

Address
181 W MEADOW DR STE 400
VAIL, CO, 816575058
Browse CO providers · Browse ZIP 81657
Phone
9704762451
Primary Specialty
246ZX2200X
246ZX2200X
Additional Specialty
246ZX2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.