Doctor Name: | MS. TARA L RIEHM |
NPI Number: | 1366683914 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 05005402A |
Business Practice Address: | 10313 Aboite Center Rd Fort Wayne, IN - 468045435 |
Business Phone Number: | 2609691411 |
Business Fax Number: | 2609691415 |
Mailing Address: | 4653 Greenridge Way, NEW HAVEN |
State: | IN |
Postal Code: | 46774 |
Phone Number: | 2609691411 |
Fax Number: | 2609691415 |
NPI Enumeration Date: | 03/11/2009 |
NPI Last Update Date: | 03/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05005402A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |