Provider Demographics
NPI:1548222110
Name:HOWARD FELTNER, TAMEY TANEAL (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:TAMEY
Middle Name:TANEAL
Last Name:HOWARD FELTNER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3208 QUINCEY XING
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-6385
Mailing Address - Country:US
Mailing Address - Phone:770-820-4590
Mailing Address - Fax:
Practice Address - Street 1:3208 QUINCEY XING
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-6385
Practice Address - Country:US
Practice Address - Phone:770-820-4590
Practice Address - Fax:770-388-7009
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6873225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics