Provider Demographics
NPI:1730851569
Name:TIPTON, JOEL STEVEN (CEP)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:STEVEN
Last Name:TIPTON
Suffix:
Gender:M
Credentials:CEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:162 LONG JOHN DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-1353
Mailing Address - Country:US
Mailing Address - Phone:828-489-6661
Mailing Address - Fax:828-650-6811
Practice Address - Street 1:162 LONG JOHN DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-1353
Practice Address - Country:US
Practice Address - Phone:828-489-6661
Practice Address - Fax:828-650-6811
Is Sole Proprietor?:No
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist