MEDICARE: TARYN KING ANDREE 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	11376-024	WI
2	225100000X	Physical Therapist	299647	CA
3	225100000X	Physical Therapist	PT7486	ID
4	225100000X	Physical Therapist	25331	MA
5	225100000X	Physical Therapist	PT3201	HI
6	225100000X	Physical Therapist	05612	OR
7	225100000X	Physical Therapist	4131	NV
8	225100000X	Physical Therapist	PT029294	PA

General Provider Information

NPI Number	:	1053458505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARYN KING ANDREE DPT

Provider Business Mailing Address
First Line	:	551 LONE PINE BLVD
Second Line	:
City	:	THE DALLES
State	:	OR
Zip	:	97058-9403
Country	:	US
Telephone Number	:	541-296-7202
Fax Number	:

Provider Business Practice Location Address
First Line	:	2847 PROSPECT AVE
Second Line	:
City	:	HOOD RIVER
State	:	OR
Zip	:	97031-1060
Country	:	US
Telephone Number	:	541-288-8064
Fax Number	:

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

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	02/06/2026

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Directions to “ TARYN KING ANDREE DPT” Practice Location

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