Tanner PT, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5549 Issued in MN

Legal business name

TANNER PT, LLC

Practice address

31 W Superior St
Suite 502
Duluth, MN 55802-2063

Phone

(218) 730-7920

Fax

(218) 260-2347

NPI assigned

Apr 30, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Holly Christine Tanner

Title

Owner, Physical Therapist

Phone

(218) 730-7920

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1013275825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W SUPERIOR ST",
            "address_2": "SUITE 502",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022063",
            "telephone_number": "218-730-7920",
            "fax_number": "218-260-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W SUPERIOR ST",
            "address_2": "SUITE 502",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022063",
            "telephone_number": "218-730-7920",
            "fax_number": "218-260-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNER PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "218-730-7920"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "5549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Talarico
• Mickayla Talberg
• Kimberly E Talbot, PT
• Linda Tallakson, C.O.T.A/L
• Elisa R Talus, PT
• Tapestry Psychotherapy Group, LLC
• Megan Marie Tapp, PHARMD
• Jillian M Tapper-Smith, APRN, CNP
• Brian Joseph Tasky, D.C.
• Rachel Marie Tasson, DPT

• Physical Therapy Clinic/Center in Duluth, MN
• Providers in Duluth, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.