Tara Grace Porter, ATC, LAT
NPI #1154939346 in West Plains, Missouri
Provider Information
- NPI Number
- 1154939346
- Entity Type
- Individual
- Name
- Tara Grace Porter, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Jul 14, 2020
- Last Updated
- Jul 14, 2020
Practice Location
- Address
- 1480 8TH ST
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-2010
- Phone
- (417) 926-5699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
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