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

TARA VANDENBOSCH, MS, ATC, CSCS, LAT

Active Sole Proprietor

TARA VANDENBOSCH, MS, ATC, CSCS, LAT is a Athletic Trainer healthcare provider located in MIAMI SHORES, Florida. NPI 1174991210 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MIAMI SHORES, FL

Registration Details

NPI Number
1174991210
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2015 (10.930496030749 yrs)
Last Updated
Sep 7, 2015
License
AL4125 (FL)
Sole Proprietor
Yes

Practice Information

Address
11300 NE 2ND AVE
MIAMI SHORES, FL, 331616628
Browse FL providers · Browse ZIP 33161
Phone
3088993572
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MIAMI SHORES, FL

Name Credential NPI
PROF. BELINDA SUE SHAPIRO ED.D, ATC/L 1962475475
PROF. CARL RAYMOND CRAMER ED.D., RKT, ATC, LAT 1841263829
PROF. GEORGIA MONIQUE MOKHA PHD ATC 1912970898
MR. DANIEL DAVID HELDER ATC 1295796852
DR. SCOTT RYAN DIETRICH EDD, ATC 1174606982
MISS MARNIE LARISSA HAWES I ATC 1073068839
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.