Doctor Name: | DR. TARA RENAE LITTELL |
NPI Number: | 1225240435 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 7326 |
Business Practice Address: | 520 Rose Ln Wickenburg, AZ - 853901447 |
Business Phone Number: | 9286845529 |
Business Fax Number: | 9286848717 |
Mailing Address: | 44309 N Us Hwy 60, MORRISTOWN |
State: | AZ |
Postal Code: | 853429661 |
Phone Number: | 9282314503 |
Fax Number: | 9286848717 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 09/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |