Individual
TARA SWANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
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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