Provider Demographics
NPI:1508928706
Name:ROHLF, TERI ANNE (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:TERI
Middle Name:ANNE
Last Name:ROHLF
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 S MEDINA ST
Mailing Address - Street 2:
Mailing Address - City:LOCKHART
Mailing Address - State:TX
Mailing Address - Zip Code:78644-3259
Mailing Address - Country:US
Mailing Address - Phone:512-398-7246
Mailing Address - Fax:512-398-6040
Practice Address - Street 1:1105 S MEDINA ST
Practice Address - Street 2:
Practice Address - City:LOCKHART
Practice Address - State:TX
Practice Address - Zip Code:78644-3259
Practice Address - Country:US
Practice Address - Phone:512-376-7246
Practice Address - Fax:512-398-6040
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1100634225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist