TIFFANY STATHAM
NPI 1689553075
Developmental Therapist in Pocatello, ID
About Tiffany Statham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY STATHAM (NPI 1689553075) is an individual developmental therapist in Pocatello, Idaho and active in the NPI registry since August 2025.
NPPES Registry Identity
Specialties & Licenses 2
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tiffany Statham's NPI number?
The NPI number for Tiffany Statham is 1689553075. It was assigned to this individual provider in the NPPES registry on August 29, 2025.
Where is Tiffany Statham located?
Tiffany Statham practices at 737 W Whitman St, Pocatello, ID 83204. The listed phone number is (208) 241-6456.
What is Tiffany Statham's specialty?
The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.
When was this NPI record last updated?
The NPPES record for Tiffany Statham was last updated on September 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.