Provider Demographics
NPI:1730062050
Name:TAP, ALIYHA
Entity type:Individual
Prefix:
First Name:ALIYHA
Middle Name:
Last Name:TAP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 SE DAPPLE DR
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-1223
Mailing Address - Country:US
Mailing Address - Phone:941-929-3354
Mailing Address - Fax:
Practice Address - Street 1:426 SE DAPPLE DR
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-1223
Practice Address - Country:US
Practice Address - Phone:941-929-3354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor