DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA GRACE PORTER, ATC, LAT

Active

TARA GRACE PORTER, ATC, LAT is a Athletic Trainer healthcare provider located in WEST PLAINS, Missouri. NPI 1154939346 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WEST PLAINS, MO

Registration Details

NPI Number
1154939346
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2020 (6.0437060363472 yrs)
Last Updated
Jul 14, 2020
Licenses
2020021125 (MO)
AT1533 (KY)

Practice Information

Address
1480 8TH ST
WEST PLAINS, MO, 657752010
Browse MO providers · Browse ZIP 65775
Phone
4179265699
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Sports Medicine (PM&R)

Other Athletic Trainer Providers in WEST PLAINS, MO

Name Credential NPI
VINCENT LEE BEAM A.T.,C. 1497713127
MR. JAMES ALLEN TAYLOR A.T.,C. 1427068337
CHRISTOPHER SCOTT GREEN ATC/L 1588675904
SARA ALICEAMAE BRANSON ATC 1295525350
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.