# MARY ANNE TINGUELY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659414530
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT1378 | ME | — |
| 2251P0200X | Pediatric Physical Therapist | 9273 | MN | Yes |
| 2251P0200X | Pediatric Physical Therapist | 9760 | CO | — |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 03/08/2019