Individual
DR. TARA LOUISE TACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W POPLAR ST, ROGERS, AR 72756-4242
(479) 631-7678
Mailing address
1609 NW SANTORINI LN, BENTONVILLE, AR 72712-3468
(417) 844-8946
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3164
AR
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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