Provider Demographics
NPI:1083013692
Name:GEHRING, TANA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:TANA
Middle Name:
Last Name:GEHRING
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:TANA
Other - Middle Name:
Other - Last Name:GARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:600 OAKMONT LN STE 600C
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5548
Mailing Address - Country:US
Mailing Address - Phone:630-575-6250
Mailing Address - Fax:
Practice Address - Street 1:7249 ARBUCKLE CMNS STE A
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112
Practice Address - Country:US
Practice Address - Phone:317-251-0500
Practice Address - Fax:317-999-9650
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05011469A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist