Individual
MRS. TAMMERA J BARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 8TH ST, WEST PLAINS, MO 65775-2010
(417) 256-5669
(417) 256-5699
Mailing address
2614 RIDGEWOOD PL, WEST PLAINS, MO 65775-1543
(417) 256-0683
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116745
MO
225200000X
Physical Therapy Assistant
1248
AR
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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