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

TIFFANY NICOLE BOURGET, OTR/L

Active Sole Proprietor

TIFFANY NICOLE BOURGET, OTR/L is a Contractor healthcare provider located in GEORGETOWN, Kentucky. NPI 1740460302 is currently active in the NPPES registry. Verify at CMS.

Contractor · GEORGETOWN, KY

Registration Details

NPI Number
1740460302
Provider Type
Individual
Gender
Female
NPI Issued
Nov 11, 2007 (18.738165093652 yrs)
Last Updated
Nov 11, 2007
License
KY-R3242 (KY)
Sole Proprietor
Yes

Practice Information

Address
306 CONCORD CT
GEORGETOWN, KY, 403241404
Browse KY providers · Browse ZIP 40324
Phone
8595762973
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in GEORGETOWN, KY

Name Credential NPI
ANN MARIE HAINES COTA 1881975100
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.