Provider Demographics
NPI:1013096320
Name:RIEPENHOFF, TAMELA RENEE (PT)
Entity Type:Individual
Prefix:MRS
First Name:TAMELA
Middle Name:RENEE
Last Name:RIEPENHOFF
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:TAMELA
Other - Middle Name:RENEE
Other - Last Name:FRAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5350 APPLE RIDGE PL
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081
Mailing Address - Country:US
Mailing Address - Phone:614-775-9132
Mailing Address - Fax:
Practice Address - Street 1:1856 ADAMS LANE
Practice Address - Street 2:1122 TAYLOR ST
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701
Practice Address - Country:US
Practice Address - Phone:740-454-9769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-010563225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist