Provider Demographics
NPI:1528733599
Name:KINTNER, TIMMARIE (LMT,MMP)
Entity type:Individual
Prefix:
First Name:TIMMARIE
Middle Name:
Last Name:KINTNER
Suffix:
Gender:F
Credentials:LMT,MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-1636
Mailing Address - Country:US
Mailing Address - Phone:267-424-4297
Mailing Address - Fax:
Practice Address - Street 1:214 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-1636
Practice Address - Country:US
Practice Address - Phone:267-424-4297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG010793225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist