Provider Demographics
NPI:1124604301
Name:TAMMY L GEIBEL
Entity Type:Organization
Organization Name:TAMMY L GEIBEL
Other - Org Name:MOMENTUM THERAPEUTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GEIBEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:724-588-3330
Mailing Address - Street 1:41 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-9723
Mailing Address - Country:US
Mailing Address - Phone:724-588-3330
Mailing Address - Fax:
Practice Address - Street 1:41 6TH AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-9723
Practice Address - Country:US
Practice Address - Phone:724-588-3330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty