Tara Mahoney Wilson in Missoula - Orthopedic
Tara Mahoney Wilson - NPI 1114001765
Tara Mahoney Wilson is a Orthopedic in Missoula, Montana. Tara Mahoney Wilson practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Tara Mahoney Wilson is 1114001765. The last update date is 2019-05-15.
Tara Mahoney Wilson's current location address is 2740 South Ave W Ste 101, Missoula, Montana. You can contact this provider via phone number 4065430617 and fax number 4067281085. The mailing address for Tara Mahoney Wilson is 2740 South Ave W Ste 101, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Mahoney Wilson |
|---|---|
| Address | 2740 South Ave W Ste 101, Missoula, Montana |
| Phone Number | 4065430617 |
| Fax Number | 4067281085 |
| Sole Proprietor | Y |
| Credentials | MSPT, OCS, |
NPI Number Detail
| NPI Number | 1114001765 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2019-05-15 |
Provider Mailing Address Detail
| Address | 2740 South Ave W Ste 101 |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598045137 |
| Phone Number | 4065430617 |
| Fax Number | 4067281085 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Post Comment/ Review Below
What is the unique identifier code issued to Tara Mahoney Wilson by the Centers for Medicare & Medicaid Services (CMS)?
The Tara Mahoney Wilson has been assigned the NPI (National Provider Identifier) 1114001765. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Tara Mahoney Wilson is geographically located?
The Tara Mahoney Wilson is physically situated at the following location: 2740 South Ave W Ste 101, Missoula, MT, 598045137.
What is Tara Mahoney Wilson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tara Mahoney Wilson is Orthopedic, and the taxonomy classification code that categorizes this area of expertise is 2251X0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114001765 to Tara Mahoney Wilson?
The Tara Mahoney Wilson received its 1114001765 assignment from the Centers for Medicare & Medicaid Services on 2006-10-24.
As of what date was the information pertaining to Tara Mahoney Wilson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tara Mahoney Wilson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-05-15.
NPI Number: 1851381982
Address: 30 Courthouse Sq, Byrdstown, TN