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

Tiffany Rose Petry, LAC

Individual provider Physical Therapy Assistant · NPI 1821702200

Tiffany Rose Petry, LAC is a Physical Therapy Assistant in Eugene, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2023
Specialties on file
3
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

315 W Broadway Ste 100
Eugene, OR 97401-3081
Phone: (541) 968-3395
Fax: (541) 470-8729
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3155 Portland St, Eugene, OR 97405-5140 — (541) 968-3395

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC212915 (OR)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA9230 (OR)
Massage Therapist Taxonomy 225700000X · Licence LMT-12041

Record details

NPI number1821702200
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedJanuary 10, 2023
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Other providers in Eugene