Provider Demographics
NPI:1639231913
Name:MEIER, TAMRA JO (PT, CSCS)
Entity Type:Individual
Prefix:
First Name:TAMRA
Middle Name:JO
Last Name:MEIER
Suffix:
Gender:F
Credentials:PT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2242 STACIL CIR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-8703
Mailing Address - Country:US
Mailing Address - Phone:239-593-4680
Mailing Address - Fax:888-709-4782
Practice Address - Street 1:2242 STACIL CIR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-8703
Practice Address - Country:US
Practice Address - Phone:239-593-4680
Practice Address - Fax:888-709-4782
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT42962251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU5858ZMedicare ID - Type UnspecifiedPROVIDER NUMBER