Provider Demographics
NPI:1871605923
Name:NEMMERS, THERESA MARY (PT)
Entity type:Individual
Prefix:DR
First Name:THERESA
Middle Name:MARY
Last Name:NEMMERS
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 1:9519 E MEADOW BROOK LN
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74075-8832
Mailing Address - Country:US
Mailing Address - Phone:405-372-7819
Mailing Address - Fax:
Practice Address - Street 1:215 S PERKINS RD
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-3651
Practice Address - Country:US
Practice Address - Phone:405-780-9919
Practice Address - Fax:405-780-9920
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3054225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist