Wilson, Tara

Wilson, Tara is an individual health care provider with primary practice located at 1333 Meadowlark Ln Ste 104, Kansas City KS 66102-1260. 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. Wilson, Tara can be contacted via phone (913) 287-9303.

Contact Information

Primary practice address
1333 Meadowlark Ln Ste 104 Kansas City KS 66102-1260
Phone: (913) 287-9303
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1013027416
LBN Legal business name Wilson, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013027416 NPPES
Kansas Other 14-01634 LICENSE#

Popular Providers