Doherty, Tara
Doherty, Tara is an individual health care provider with primary practice located at 2090 Woodwinds Dr , Woodbury MN 55125-2522. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Doherty, Tara can be contacted via phone (651) 968-5201.Contact Information
Primary practice address
2090 Woodwinds Dr
Woodbury MN 55125-2522
Phone: (651) 968-5201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 3784 | Minnesota |
Profile Details
| NPI number | 1962195305 |
|---|---|
| LBN Legal business name | Doherty, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2023 |
| Last updated | Jun 16th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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