Individual
MR. TANNER RAY TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
301 W BROADWAY STE 100, COUNCIL BLUFFS, IA 51503-9071
(712) 322-9688
(712) 322-1299
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3673
NE
Other
Enumeration date
02/03/2017
Last updated
03/17/2018
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