Provider Demographics
NPI:1578861001
Name:GEIST, TAMARA A (PT)
Entity Type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:A
Last Name:GEIST
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:101 PLEASANT ST
Mailing Address - Street 2:SUITE 114
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-3213
Mailing Address - Country:US
Mailing Address - Phone:508-798-2225
Mailing Address - Fax:508-798-2224
Practice Address - Street 1:101 PLEASANT ST
Practice Address - Street 2:SUITE 114
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-3213
Practice Address - Country:US
Practice Address - Phone:508-798-2225
Practice Address - Fax:508-798-2224
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA8084225100000X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic