Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIARA FETHERSON, CERTIFIED HAIR LOSS
Active Sole ProprietorTIARA FETHERSON, CERTIFIED HAIR LOSS is a Physical Therapist Assistant healthcare provider located in WINSTON SALEM, North Carolina. NPI 1881274199 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1881274199
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2021 (5.1565010428123 yrs)
- Last Updated
- Apr 11, 2021
- License
-
C92097 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2516 REYNOLDA RDWINSTON SALEM, NC, 271064618Browse NC providers · Browse ZIP 27106
- Phone
- 9802304841
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Other Physical Therapist Assistant Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| ANTHONY J SAIA JR. | CPO | 1477686475 |
| SUSAN R CLARK | CPO | 1063545077 |
| TRIVY JOHNSON | CERTIFIED HAIR LOSS | 1548734718 |
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.