Provider Demographics
NPI:1831610294
Name:FRISCE, TARYN (DPT)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:
Last Name:FRISCE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16723 STONES THROW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-2227
Mailing Address - Country:US
Mailing Address - Phone:210-912-1296
Mailing Address - Fax:
Practice Address - Street 1:1 LONE STAR PASS STE 46
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78264-3650
Practice Address - Country:US
Practice Address - Phone:210-263-5754
Practice Address - Fax:210-263-5759
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3121149225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist