Individual
TARA FAEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2316 28TH ST, CENTRAL CITY, NE 68826-9743
(308) 946-2100
Mailing address
1999 11TH RD, CENTRAL CITY, NE 68826-8014
(402) 764-0663
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1817
NE
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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