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NPI Code Detail

MEDICARE: MRS. DIANE MARIE KEMPER M.P.T.

MEDICARE: MRS. DIANE MARIE KEMPER M.P.T.
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
1225100000XPhysical Therapist2001009692MO

General Provider Information

NPI Number : 1255448148
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANE MARIE KEMPER M.P.T.
Provider Business Mailing Address
First Line : 2682 BABBLE CREEK LN
Second Line :
City : O FALLON
State : MO
Zip : 63368-8337
Country : US
Telephone Number : 636-978-3000
Fax Number : 636-978-1821
Provider Business Practice Location Address
First Line : 2682 BABBLE CREEK LN
Second Line :
City : O FALLON
State : MO
Zip : 63368-8337
Country : US
Telephone Number : 636-978-3000
Fax Number : 636-978-1821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 07/08/2007

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