Smith, Tara Beth

Smith, Tara Beth is an individual health care provider with primary practice located at 315 N Washington Ave Ste 240 , Cookeville TN 38501. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Smith, Tara Beth can be contacted via phone (931) 854-1203.

Contact Information

Primary practice address
315 N Washington Ave Ste 240 Cookeville TN 38501
Phone: (931) 854-1203
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5831 Tennessee

Profile Details

NPI number 1366950875
LBN Legal business name Smith, Tara Beth
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2018
Last updated Sep 30th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366950875 NPPES
Tennessee MEDICAID 0446631

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