Tara Michelle King

NPI 1245675420 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1245675420
Gender Female
Enumeration Date 05/01/2013
Last Updated 05/02/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
19213 E 5TH STREET CT N
INDEPENDENCE MO, 64056-2211, US
Phone (816) 489-6332
Fax
Business Location
19213 E 5TH STREET CT N
INDEPENDENCE MO, 64056-2211, US
Phone (816) 489-6332
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Missouri
License Number 1999141155
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According to our database, Mrs. Tara Michelle King NPI is 1245675420, taxonomy code is 224Z00000X and license number is 1999141155, license state is located at Missouri. Tara Michelle King physically located at 19213 E 5th Street Ct N, Independence MO, 64056-2211. NPI Number Tara Michelle King has the Individual type.

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1245675420 NPI number is provided on an as is basis without warranty of any kind. 1245675420 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Michelle King are for informational purposes only.