Individual
TARA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 W MURDOCK ST, WICHITA, KS 67203-3246
(316) 841-3032
Mailing address
910 W MURDOCK ST, WICHITA, KS 67203-3246
(316) 841-3032
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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