Ms Tara L Riehm, | |
1521 W Main St Ste 1, Berne, IN 46711-1797 | |
(260) 589-2312 | |
Not Available |
Full Name | Ms Tara L Riehm |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1521 W Main St Ste 1, Berne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366683914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05005402A (Indiana) | Primary |
Provider Name | Adams County Memorial Hospital |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689696148 PECOS PAC ID: 0941198253 Enrollment ID: O20041001000326 |
Mailing Address | Practice Location Address |
---|---|
Ms Tara L Riehm, 4653 Greenridge Way, New Haven, IN 46774 Ph: (260) 969-1411 | Ms Tara L Riehm, 1521 W Main St Ste 1, Berne, IN 46711-1797 Ph: (260) 589-2312 |
Luke Laskowski, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1521 W Main St Ste 1, Berne, IN 46711 Phone: 260-589-2312 | |
Hannah Bruick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1521 W Main St Ste 1, Berne, IN 46711 Phone: 260-589-2312 | |
Leslie Ann Fickert, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1350 W Main St, Berne, IN 46711 Phone: 260-589-4418 Fax: 260-589-4447 |