Tara M Klosterman, PT
Individual provider Active NPI Physical Therapist · Minster, OH
NPI 1457580904 · NPPES record last updated Jul 6, 2009
Key facts
- NPI
- 1457580904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 012453 (OH)
- Practice address
- 326 N Main St
Suite 300
Minster, OH 45865-9500 - Phone
- (419) 628-6920
- NPI assigned
- Jul 6, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 012453 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 012453 | OH | Yes |
Addresses
Primary practice location
326 N Main St
Suite 300
Minster, OH 45865-9500
Mailing address
7392 County Road 219a
Celina, OH 45822-8829
Other providers in Minster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.