IndividualActive
Tiffany Korrer, PTA
NPI 1861797060 · Physical Therapy Assistant · Plummer, ID
Provider details
- NPI number
- 1861797060
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTA-2740 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1100 A. Street
Plummer, ID 83851
Phone: (208) 686-7041
Fax: (208) 686-5712
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 516
Plummer, ID 83851
Registry dates
- Enumerated
- 2011-01-19
- Last updated
- 2011-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.