Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY KRAGENBRINK
Active Sole ProprietorTIFFANY KRAGENBRINK is a Emotionally Disturbed Children Residential Treatment healthcare provider located in ROCKTON, Illinois. NPI 1720578503 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · ROCKTON, IL
Registration Details
- NPI Number
- 1720578503
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2018 (8.2520761614953 yrs)
- Last Updated
- May 16, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
58 W ROCKTON RDROCKTON, IL, 610721699Browse IL providers · Browse ZIP 61072
- Phone
- 8156248431
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
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.