Tara Grace Porter
Sports Medicine
1480 8th St
West Plains
, Missouri 65775-2010
Tara Grace Porter
Sports Medicine
1480 8th St
West Plains
, Missouri 65775-2010
(417) 926-5699
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Tara Grace Porter
- 1480 8th St
- West Plains, MO
- Zip : 65775-2010
- Phone : (417) 926-5699
Second Address
- Tara Grace Porter
- 1480 8th St
- West Plains, MO
- Zip : 65775-2010
- Phone : (417) 926-5699
Reviews
FAQs
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In what state does Tara Grace Porter practice in?
Where is Tara Grace Porter ’s practice located?
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Is Tara Grace Porter a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2081S0010X | Sports Medicine | AT1533 | KY |
| N | 213ES0000X | Sports Medicine | AT1533 | KY |
National Provider Identifier
| NPI | 1154939346 |
|---|---|
| Provider Name | Tara Grace Porter |
| First Address | West Plains, MO 65775-2010 |
| Second Address | West Plains, MO 65775-2010 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2020 |
| Last Update Date | 14/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.