Provider Demographics
NPI:1427434711
Name:VOLLMER, TIA MARIE (DPT)
Entity type:Individual
Prefix:MRS
First Name:TIA
Middle Name:MARIE
Last Name:VOLLMER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 BROWNSDALE RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16002-0420
Mailing Address - Country:US
Mailing Address - Phone:724-504-0440
Mailing Address - Fax:
Practice Address - Street 1:198 BROWNSDALE RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16002-0420
Practice Address - Country:US
Practice Address - Phone:724-504-0440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0245402251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics