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NPI Code Detail

MEDICARE: MRS. TAMMERA J BARKS

MEDICARE: MRS. TAMMERA J BARKS
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 Assistant116745MO
2225200000XPhysical Therapy Assistant1248AR

General Provider Information

NPI Number : 1932132875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMMERA J BARKS
Provider Business Mailing Address
First Line : 2614 RIDGEWOOD PL
Second Line :
City : WEST PLAINS
State : MO
Zip : 65775-1543
Country : US
Telephone Number : 417-256-0683
Fax Number :
Provider Business Practice Location Address
First Line : 1480 8TH ST
Second Line :
City : WEST PLAINS
State : MO
Zip : 65775-2010
Country : US
Telephone Number : 417-256-5669
Fax Number : 417-256-5699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. TAMMERA J BARKS ” Practice Location

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