Individual
TAREN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 N BUSINESS ROUTE 5 UNIT 1B, CAMDENTON, MO 65020-2659
(573) 346-7445
(573) 346-7673
Mailing address
1930 N BUSINESS ROUTE 5 UNIT 1B, CAMDENTON, MO 65020-2659
(573) 346-7445
(573) 346-7673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2010028338
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010028338
STATE OF MISSOURI DEVISION OF PROGRESSIONAL REGISTRATION PHYSICAL THERAPY
MO
Enumeration date
10/30/2017
Last updated
10/30/2017
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