Herides, Tara

Herides, Tara is an individual health care provider with primary practice located at 425 Summit St , Wild Rose WI 54984-6804. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Herides, Tara can be contacted via phone (920) 622-4342.

Contact Information

Primary practice address
425 Summit St Wild Rose WI 54984-6804
Phone: (920) 622-4342
Fax: (920) 622-3655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2902 Wisconsin

Profile Details

NPI number 1053877530
LBN Legal business name Herides, Tara
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2019
Last updated Feb 20th, 2019 - about 7 years ago

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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