MR. Jeremy Ray Tjarks, MS, LAT, ATC
NPI #1992063697 in Springfield, Missouri
Provider Information
- NPI Number
- 1992063697
- Entity Type
- Individual
- Name
- MR. Jeremy Ray Tjarks, MS, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other
- Credential
- MS, LAT, ATC
- Enumeration Date
- May 1, 2012
- Last Updated
- May 1, 2012
Practice Location
- Address
- 2135 S FREMONT AVE
- City
- Springfield
- State
- Missouri
- ZIP Code
- 65804-2239
- Phone
- (417) 820-7990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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| Provider Name | |
|---|---|
| Autumn Wind Sharp | |
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| MS. Phyllis Louise Kessler, B.C.,HIS | |
| Cheri A Vance |
Organizations
| Provider Name | |
|---|---|
| Photorealistic Areola & Healing Arts Institute |
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