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TODD R TIEPELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.A

Contact information

Practice address
845 N NEW BALLAS CT, SUITE 40, SAINT LOUIS, MO 63141-7134
(314) 872-1644
(314) 872-1801
Mailing address
4850 LEMAY FERRY RD, SUITE 101, SAINT LOUIS, MO 63129-1576
(314) 416-0439
(314) 487-3062

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116851
MO

Other

Enumeration date
08/29/2007
Last updated
08/29/2007
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