Search › Kentucky › 106H00000X
Tiaka Wise
NPI 1285357566 · on the registry since 2022
Practice
- Address
- 5226 Planet Dr
Louisville, KY 40258 - Phone
- (502) 299-1319
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101YM0800X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky