Individual
MS. TARA L. MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3021 OLD FIELD WAY, LEXINGTON, KY 40513-1724
(859) 229-3316
Mailing address
PO BOX 910742, LEXINGTON, KY 40591-0742
(859) 229-3316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001872
KY
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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