Healthcare Provider Details

I. General information

NPI: 1710894068
Provider Name (Legal Business Name): TARA A ZAMBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11695 ROUTE 56 HWY E
ARMAGH PA
15920-9025
US

IV. Provider business mailing address

3413 RHINE RD
BLAIRSVILLE PA
15717-6445
US

V. Phone/Fax

Practice location:
  • Phone: 814-446-5555
  • Fax:
Mailing address:
  • Phone: 724-599-8213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC012172
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: