Individual
MRS. TARA LYNN KUNTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6201 ELMWOOD AVE, MIDDLETON, WI 53562-3319
(608) 831-8300
Mailing address
6201 ELMWOOD AVENUE, MIDDLETON, WI 53562
(608) 831-8300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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