Dr. Nicholas Tanner
Physical Therapist - Orthopedic
909 Purdue Ave
University City
, Missouri 63130-3012
Dr. Nicholas Tanner
Physical Therapist - Orthopedic
909 Purdue Ave
University City
, Missouri 63130-3012
(401) 688-6431
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Dr. Nicholas Tanner
- 1181 Breakwater Way
- Creve Coeur, MO
- Zip : 63141-6212
- Phone : (401) 688-6431
Second Address
- Dr. Nicholas Tanner
- 909 Purdue Ave
- University City, MO
- Zip : 63130-3012
- Phone : (314) 802-7337
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 2021006277 | MO |
National Provider Identifier
| NPI | 1033784210 |
|---|---|
| Provider Name | Dr. Nicholas Tanner |
| First Address | Creve Coeur, MO 63141-6212 |
| Second Address | University City, MO 63130-3012 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/05/2021 |
| Last Update Date | 20/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.