Individual
MS. TARA LYNN QUAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1575 HOOVER DR, NORTH MANKATO, MN 56003-2667
(507) 720-6582
Mailing address
23217 471ST AVE, GAYLORD, MN 55334-2068
(507) 381-3696
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2248
MN
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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