Individual
TARA GRAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
109 HOMEWOOD BLVD, GLASGOW, KY 42141-3468
(270) 651-6126
Mailing address
1296 FAIRVIEW RD, CAMPBELLSVILLE, KY 42718-7951
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02749
KY
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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