Dominguez, Tara Renee

Dominguez, Tara Renee is an individual health care provider with primary practice located at 10400 W 103Rd St Ste 22 , Overland Park KS 66214-2664. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Dominguez, Tara Renee can be contacted via phone (913) 322-4000.

Contact Information

Primary practice address
10400 W 103Rd St Ste 22 Overland Park KS 66214-2664
Phone: (913) 322-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 1105159 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2008024821 Missouri

Profile Details

NPI number 1346497534
LBN Legal business name Dominguez, Tara Renee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Dec 27th, 2019 - about 6 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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