Provider Demographics
NPI:1942572011
Name:TMI PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:TMI PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TALI
Authorized Official - Middle Name:M
Authorized Official - Last Name:MANTHEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:951-928-0773
Mailing Address - Street 1:30099 RESERVOIR AVE
Mailing Address - Street 2:
Mailing Address - City:NUEVO
Mailing Address - State:CA
Mailing Address - Zip Code:92567-9779
Mailing Address - Country:US
Mailing Address - Phone:951-928-0773
Mailing Address - Fax:951-928-2535
Practice Address - Street 1:30099 RESERVOIR AVE
Practice Address - Street 2:
Practice Address - City:NUEVO
Practice Address - State:CA
Practice Address - Zip Code:92567-9779
Practice Address - Country:US
Practice Address - Phone:951-928-0773
Practice Address - Fax:951-928-2535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25665225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty