Individual
TARA LEE KANNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
509 13TH ST STE B, BELLE PLAINE, IA 52208-1521
(319) 434-6150
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
092337
IA
Other
Enumeration date
06/12/2018
Last updated
12/02/2022
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