Provider Demographics
NPI:1699879254
Name:KNEIPP, TERESA EILEEN (PT)
Entity type:Individual
Prefix:MISS
First Name:TERESA
Middle Name:EILEEN
Last Name:KNEIPP
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 MADELEINE CIR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4605
Mailing Address - Country:US
Mailing Address - Phone:513-931-2441
Mailing Address - Fax:
Practice Address - Street 1:2300 MONTANA AVE
Practice Address - Street 2:SUITE 420
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-3829
Practice Address - Country:US
Practice Address - Phone:513-662-3400
Practice Address - Fax:513-662-3071
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-08646225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist