MEDICARE: MS. TARA LEE WALKER

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
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1962772087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TARA LEE WALKER

Provider Business Mailing Address
First Line	:	912 EUGENE CERNAN ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-6129
Country	:	US
Telephone Number	:	702-525-9470
Fax Number	:

Provider Business Practice Location Address
First Line	:	912 EUGENE CERNAN ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-6129
Country	:	US
Telephone Number	:	702-525-9470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2012
Last Update Date	:	01/05/2012

Similar Medicare Providers

1871932178 — ELISHEBA BARNARD
Practice Location Address:

8235 BROWARD LN
LAS VEGAS, NV
89147-6129

Practice Phone: 702-265-7758
Practice Fax:

1821502311 — TIFFANY BRAZIER
Practice Location Address:

6129 CASPER SANDS CT
NORTH LAS VEGAS, NV
89031-1763

Practice Phone: 702-321-7284
Practice Fax:

1023606274 — COMMUNITY FIRST BEHAVIORAL HEALTH SERVICE
Practice Location Address:

8235 BROWARD LN
LAS VEGAS, NV
89147-6129

Practice Phone: 702-265-7758
Practice Fax:

1639925613 — MYCHEL YOUNG
Practice Location Address:

6129 KINDERHOOK CT
NORTH LAS VEGAS, NV
89081-6400

Practice Phone: 702-232-1181
Practice Fax:

1821844812 — ALICIA YOUNG
Practice Location Address:

6129 KINDERHOOK CT
NORTH LAS VEGAS, NV
89081-6400

Practice Phone: 402-218-9449
Practice Fax:

1356215024 — HYUNAH LEE
Practice Location Address:

3512 PORTIANI DR
LAS VEGAS, NV
89141-6129

Practice Phone: 949-444-4619
Practice Fax:

Directions to “ MS. TARA LEE WALKER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.