Provider Demographics
NPI:1023378452
Name:BEHM, TANEAL (MS OTR)
Entity Type:Individual
Prefix:
First Name:TANEAL
Middle Name:
Last Name:BEHM
Suffix:
Gender:F
Credentials:MS OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 PELICAN CV
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-6102
Mailing Address - Country:US
Mailing Address - Phone:970-412-7361
Mailing Address - Fax:
Practice Address - Street 1:304 PELICAN CV
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-6102
Practice Address - Country:US
Practice Address - Phone:970-412-7361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-18
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics