Bush, Tara L

Bush, Tara L is an individual health care provider with primary practice located at 193 Coral Dr Sw , Fort Walton Beach FL 32548-6628. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bush, Tara L can be contacted via phone (850) 499-5054.

Contact Information

Primary practice address
193 Coral Dr Sw Fort Walton Beach FL 32548-6628
Phone: (850) 499-5054
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA41462 Florida

Profile Details

NPI number 1326226283
LBN Legal business name Bush, Tara L
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2008
Last updated Feb 3rd, 2008 - about 17 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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