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NPI Code Detail

MEDICARE: TARA GEHRING

MEDICARE:   TARA  GEHRING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant9353MA
2235Z00000XSpeech-Language Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19353OTHERMAPTA LICENSE

General Provider Information

NPI Number : 1285157339
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA GEHRING
Provider Business Mailing Address
First Line : 9 POMEROY MEADOW EXT
Second Line :
City : SOUTHAMPTON
State : MA
Zip : 01073-9573
Country : US
Telephone Number : 413-433-7154
Fax Number :
Provider Business Practice Location Address
First Line : 209 ROOT RD
Second Line :
City : WESTFIELD
State : MA
Zip : 01085-9801
Country : US
Telephone Number : 413-568-3942
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2017
Last Update Date : 05/03/2022

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Directions to “ TARA GEHRING ” Practice Location

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