Doctor Name: | KATIE ELISSA TARR |
NPI Number: | 1164665071 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 070016644 |
Business Practice Address: | 802 Knottingham Dr Ottawa, IL - 613504224 |
Business Phone Number: | 8157128915 |
Business Fax Number: | 8153249107 |
Mailing Address: | 802 Knottingham Dr, OTTAWA |
State: | IL |
Postal Code: | 613504224 |
Phone Number: | 8157128915 |
Fax Number: | 8153249107 |
NPI Enumeration Date: | 04/08/2009 |
NPI Last Update Date: | 06/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070016644 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |