MRS. Tara Ecklund, PTA

NPI #1376304428 in Republic, Missouri

Provider Information

NPI Number: 1376304428
Entity Type: Individual
Name: MRS. Tara Ecklund, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 17, 2024
Last Updated: Jan 17, 2024

Practice Location

Address: 2673 E SAWYER RD
City: Republic
State: Missouri
ZIP Code: 65738-7574
Phone: (417) 324-7646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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