Provider Demographics
NPI:1679537096
Name:BROWN, TANSY R (DPT)
Entity type:Individual
Prefix:
First Name:TANSY
Middle Name:R
Last Name:BROWN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:TANSY
Other - Middle Name:R
Other - Last Name:MIDDAG, CHRIST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2541 NW LEMHI PASS DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-6775
Mailing Address - Country:US
Mailing Address - Phone:907-360-5998
Mailing Address - Fax:
Practice Address - Street 1:2541 NW LEMHI PASS DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-6775
Practice Address - Country:US
Practice Address - Phone:907-360-5998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist