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Individual

MR. SKYLAR LANE TARBET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
250 COUNTRY CLUB PKWY, SPRING CREEK, NV 89815-5830
(775) 777-1276
(775) 777-7022
Mailing address
250 COUNTRY CLUB PKWY, SPRING CREEK, NV 89815-5830
(775) 777-1276
(775) 777-7022

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3316
NV
225100000X
Physical Therapist
PT 60717697
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033567466
NV
Enumeration date
05/26/2016
Last updated
01/23/2020
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