Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tiffany Lyn Harless, PTA

Individual provider Physical Therapy Assistant · NPI 1720763337

Tiffany Lyn Harless, PTA is a Physical Therapy Assistant in South Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2023.

Licensed in
WV
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4825 Maccorkle Ave SW
South Charleston, WV 25309-1365
Phone: (304) 346-9667
Fax: (304) 346-9717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 001332 (WV)

Record details

NPI number1720763337
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 20, 2023
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023

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