MEDICARE: DR. NOELLE L TEEMANT DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		MO
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1700195955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NOELLE L TEEMANT DPT

Provider Business Mailing Address
First Line	:	6400 N FISK CT
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-1379
Country	:	US
Telephone Number	:	816-200-2692
Fax Number	:

Provider Business Practice Location Address
First Line	:	5775 NW 64TH TER STE 204
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-3980
Country	:	US
Telephone Number	:	816-200-2692
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2010
Last Update Date	:	06/16/2023

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Directions to “ DR. NOELLE L TEEMANT DPT” Practice Location

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