Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIARRA TANAE JOSEPH, MS, LAT, ATC
Active Sole ProprietorTIARRA TANAE JOSEPH, MS, LAT, ATC is a Athletic Trainer healthcare provider located in ROSELLE, New Jersey. NPI 1427690999 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ROSELLE, NJ
Registration Details
- NPI Number
- 1427690999
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2019 (6.796808557938 yrs)
- Last Updated
- Oct 16, 2019
- License
-
25MT00260300 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
122 E 6TH AVEROSELLE, NJ, 072032081Browse NJ providers · Browse ZIP 07203
- Phone
- 9082982000
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.