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Individual

TARA SWANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
9411 N OAK TRFY, STE 200, KANSAS CITY, MO 64155-2233
(816) 436-6383
Mailing address
10801 N DONNELLY CT, KANSAS CITY, MO 64157-9234
(816) 415-0866

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06656
KS
225100000X
Physical Therapist
Primary
2001023241
MO
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2001023241
LICENSE #
MO
Enumeration date
08/30/2006
Last updated
02/10/2022
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