Mack, Tara

Mack, Tara is an individual health care provider with primary practice located at 2701 Chestnut Station Ct , Louisville KY 40299-6395. 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. Mack, Tara can be contacted via phone (800) 335-1060.

Contact Information

Primary practice address
2701 Chestnut Station Ct Louisville KY 40299-6395
Phone: (800) 335-1060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5502004267 Michigan

Profile Details

NPI number 1770977928
LBN Legal business name Mack, Tara
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2015
Last updated Mar 26th, 2015 - about 11 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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