Doctor Name: | TANYA TEPEN |
NPI Number: | 1013377266 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 070022017 |
Business Practice Address: | 693 Decker Ln Creve Coeur, MO - 631416710 |
Business Phone Number: | 3146567578 |
Business Fax Number: | 3149974532 |
Mailing Address: | 1034 S Brentwood Blvd Ste 300, SAINT LOUIS |
State: | MO |
Postal Code: | 631171203 |
Phone Number: | 3146441978 |
Fax Number: | 3144333973 |
NPI Enumeration Date: | 03/01/2016 |
NPI Last Update Date: | 03/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070022017 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |