Individual
TARA EISENACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
1 TIGER TRL, LOVELAND, OH 45140-1976
(513) 608-9396
Mailing address
2204 JULIE TER, CINCINNATI, OH 45215-3963
(513) 608-9396
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004966
OH
Other
Enumeration date
02/11/2015
Last updated
09/15/2021
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