Provider Demographics
NPI:1700195955
Name:TEEMANT, NOELLE L (DPT)
Entity Type:Individual
Prefix:DR
First Name:NOELLE
Middle Name:L
Last Name:TEEMANT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:NOELLE
Other - Middle Name:
Other - Last Name:CONERLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6400 N FISK CT
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-1379
Mailing Address - Country:US
Mailing Address - Phone:816-200-2692
Mailing Address - Fax:
Practice Address - Street 1:5775 NW 64TH TER STE 204
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-3980
Practice Address - Country:US
Practice Address - Phone:816-200-2692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-05
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist