Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIAHNA E FAIRBANKS, BA
ActiveTIAHNA E FAIRBANKS, BA is a Developmental Therapist healthcare provider located in MOUNTAIN HOME, Idaho. NPI 1407217987 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · MOUNTAIN HOME, ID
Registration Details
- NPI Number
- 1407217987
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 11, 2016 (10.387299557647 yrs)
- Last Updated
- Mar 11, 2016
Practice Information
- Address
-
2420 AMERICAN LEGION BLVDMOUNTAIN HOME, ID, 836473146Browse ID providers · Browse ZIP 83647
- Phone
- 2088906420
- Primary Specialty
-
Developmental Therapist
222Q00000X
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.