Individual
MRS. TARRA E RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1212 PLEASANT ST STE 405, DES MOINES, IA 50309-1413
(515) 243-8842
(515) 282-9806
Mailing address
1200 PLEASANT STREET, SOUTH 2 ROOM 236, DES MOINES, IA 50309-1406
(515) 241-6228
(515) 241-8685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02333
IA
225100000X
Physical Therapist
070011010
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346575453
—
IA
Enumeration date
10/07/2009
Last updated
03/17/2018
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