Wisdom, Tara Leigh

Wisdom, Tara Leigh is an individual health care provider with primary practice located at 3800 Hulen St , Fort Worth TX 76107-7276. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wisdom, Tara Leigh can be contacted via phone (512) 876-8595.

Contact Information

Primary practice address
3800 Hulen St Fort Worth TX 76107-7276
Phone: (512) 876-8595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1156069 Texas

Profile Details

NPI number 1740259308
LBN Legal business name Wisdom, Tara Leigh
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Feb 2nd, 2016 - about 8 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 1740259308 NPPES
Texas Other 8FAV58 BLUE CROSS BLUE SHIELD
Texas MEDICAID 348440401 BLUE CROSS BLUE SHIELD

Popular Providers