Katherine Tillman
Katherine Tillman is a Prosthetic/Orthotic Supplier in Tampa, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
8119 N Mulberry StTampa, FL 33604-3443
Phone: (813) 410-6159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 12811 N Nebraska Ave Ste E, Tampa, FL 33612-4401 — (813) 410-6159
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 6906834 (FL) |
|---|---|
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X · Licence CL1189677 (FL) |
Record details
| NPI number | 1689030330 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 11, 2016 |
| Last updated in NPPES | January 27, 2025 |
| Certification date | January 27, 2025 |
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