| Organization Name: | TALLY HEALTH SERVICES LLC |
| NPI Number: | 1023367786 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY TALLY (OWNER) |
| Mailing Address: | 1335 Village Dr Saint Joseph |
| State: | MO US |
| Postal Code: | 645062457 |
| Phone Number: | 8162337258 |
| Fax Number: | 8162334967 |
| NPI Enumeration Date: | 09/09/2012 |
| NPI Last Update Date: | 09/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2011005425 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |