Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA MARIE LODI
ActiveTARA MARIE LODI is a Physical Therapy Assistant healthcare provider located in KELLOGG, Idaho. NPI 1164901294 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · KELLOGG, ID
Registration Details
- NPI Number
- 1164901294
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2018 (7.9861288415615 yrs)
- Last Updated
- Aug 9, 2018
- License
-
PT-2709 (ID)
Practice Information
- Address
-
601 W CAMERON AVEKELLOGG, ID, 838372004Browse ID providers · Browse ZIP 83837
- Phone
- 2087841625
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in KELLOGG, ID
| Name | Credential | NPI |
|---|---|---|
| CORY I LEWIS | DPT | 1467496323 |
| LISA JOANN DARST | MPT | 1932366325 |
| SHERI L. ZUMSTEIN | — | 1790945459 |
| RUSTY M WOOD | MPT | 1295034684 |
| KELLI JEAN KENSER | DPT | 1548075443 |
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.