Katie Elissa Tarr, MPT

NPI #1164665071 in Ottawa, Illinois

Provider Information

NPI Number: 1164665071
Entity Type: Individual
Name: Katie Elissa Tarr, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Apr 8, 2009
Last Updated: Jun 6, 2014

Practice Location

Address: 802 KNOTTINGHAM DR
City: Ottawa
State: Illinois
ZIP Code: 61350-4224
Phone: (815) 712-8915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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