MEDICARE: TARA L KEAR OTR

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	225X00000X	Occupational Therapist	OTR2065	AR

General Provider Information

NPI Number	:	1770430159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA L KEAR OTR

Provider Business Mailing Address
First Line	:	2100 W MAIN ST
Second Line	:
City	:	RUSSELLVILLE
State	:	AR
Zip	:	72801-2758
Country	:	US
Telephone Number	:	479-968-2525
Fax Number	:	479-968-2539

Provider Business Practice Location Address
First Line	:	3605 COLLEGE AVEUNE
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034
Country	:	US
Telephone Number	:	501-327-2235
Fax Number	:

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

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “ TARA L KEAR OTR” Practice Location

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