Individual
KATE TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(901) 634-9819
Mailing address
3829 E HUNTLY ST, MERIDIAN, ID 83642-5707
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT-7454
ID
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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