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

MS. TIFFANY RENEE GODBOLT, P.T.A.

Active Sole Proprietor

MS. TIFFANY RENEE GODBOLT, P.T.A. is a Occupational Therapist healthcare provider located in LAKE CITY, South Carolina. NPI 1952747107 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · LAKE CITY, SC

Registration Details

NPI Number
1952747107
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2013 (13.222794143371 yrs)
Last Updated
Jun 3, 2013
License
1980 (SC)
Sole Proprietor
Yes

Practice Information

Address
318 E MAIN ST
LAKE CITY, SC, 295602116
Browse SC providers · Browse ZIP 29560
Phone
8433743353
Fax
8433747245
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in LAKE CITY, SC

Name Credential NPI
MR. JAMES DAVID CLARK PTA 1285845362
MRS. CHRISTINA LYNN CARTER PTA 1619147873
DAVID JACKSON JR. PTA 1104098904
MS. ROBYN DYSON STEPHENSON 1104079532
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.