Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA HERIDES, PTA
ActiveTARA HERIDES, PTA is a Occupational Therapist healthcare provider located in WILD ROSE, Wisconsin. NPI 1053877530 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WILD ROSE, WI
Registration Details
- NPI Number
- 1053877530
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2019 (7.4585106833888 yrs)
- Last Updated
- Feb 20, 2019
- License
-
2902 (WI)
Practice Information
- Address
-
425 SUMMIT STWILD ROSE, WI, 549846804Browse WI providers · Browse ZIP 54984
- Phone
- 9206224342
- Fax
- 9206223655
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in WILD ROSE, WI
| Name | Credential | NPI |
|---|---|---|
| MS. CRYSTAL A KAHIKINA | PTA | 1093947624 |
| CURTIS WILLIAM MANNING | PTA | 1669709283 |
| RACHELLE N SOBCZAK | PTA | 1992298046 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.