Provider Demographics
NPI:1629517495
Name:TEMPLIN, LIZBETH (PT, DPT, GCS)
Entity Type:Individual
Prefix:DR
First Name:LIZBETH
Middle Name:
Last Name:TEMPLIN
Suffix:
Gender:F
Credentials:PT, DPT, GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2806 FLAMEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-2526
Mailing Address - Country:US
Mailing Address - Phone:314-941-2578
Mailing Address - Fax:
Practice Address - Street 1:2806 FLAMEWOOD DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-2526
Practice Address - Country:US
Practice Address - Phone:314-941-2578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20050154902251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics