Tara Anne Kishpaugh in Eagle - Athletic Trainer
Tara Anne Kishpaugh - NPI 1588704118
Tara Anne Kishpaugh is a Athletic Trainer in Eagle, Idaho. Tara Anne Kishpaugh practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Tara Anne Kishpaugh is 1588704118. The last update date is 2007-07-08.
Tara Anne Kishpaugh's current location address is 574 Park Ln, Eagle, Idaho. You can contact this provider via phone number 2089392189. The mailing address for Tara Anne Kishpaugh is 574 Park Ln, Eagle, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Anne Kishpaugh |
|---|---|
| Address | 574 Park Ln, Eagle, Idaho |
| Phone Number | 2089392189 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LAT, AT.,C |
NPI Number Detail
| NPI Number | 1588704118 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 574 Park Ln |
|---|---|
| City | Eagle |
| State | Idaho (ID) |
| Post Code | 836164512 |
| Phone Number | 2089392189 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AT-280 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identifier code issued to Tara Anne Kishpaugh by the Centers for Medicare & Medicaid Services?
The Tara Anne Kishpaugh has been assigned the NPI (National Provider Identifier) 1588704118 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Tara Anne Kishpaugh located?
The Tara Anne Kishpaugh is located at 574 Park Ln, Eagle, ID 836164512.
What is Tara Anne Kishpaugh's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tara Anne Kishpaugh is Athletic Trainer, and the corresponding taxonomy classification code for this specialized field is 2255A2300X.
On what date was the 1588704118 assigned to Tara Anne Kishpaugh?
The Tara Anne Kishpaugh was issued its 1588704118 on 2007-02-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tara Anne Kishpaugh most recently updated?
The details pertaining to the Tara Anne Kishpaugh, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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