Provider Demographics
NPI:1902926090
Name:TENNIES, JANET CARLSON (PT)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:CARLSON
Last Name:TENNIES
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 1:121 MAIN ENTRANCE DR
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-1153
Mailing Address - Country:US
Mailing Address - Phone:412-461-2552
Mailing Address - Fax:
Practice Address - Street 1:1305 5TH AVE
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-2424
Practice Address - Country:US
Practice Address - Phone:412-675-3117
Practice Address - Fax:412-675-3127
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007865L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist