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

MISS TARA ANNE CONDON, MA, AT, ATC

Active

MISS TARA ANNE CONDON, MA, AT, ATC is a Sports Medicine (PM&R) healthcare provider located in LOUISVILLE, Kentucky. NPI 1689233785 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · LOUISVILLE, KY

Registration Details

NPI Number
1689233785
Provider Type
Individual
Gender
Female
NPI Issued
Jun 12, 2019 (7.2151030769534 yrs)
Last Updated
Jun 16, 2023
License
AT-008909 (AZ)

Practice Information

Address
801 EDITH RD
LOUISVILLE, KY, 402062280
Browse KY providers · Browse ZIP 40206
Phone
8455214398
Primary Specialty
Sports Medicine (PM&R)
2081S0010X

Other Sports Medicine (PM&R) Providers in LOUISVILLE, KY

Name Credential NPI
BENJAMIN ENK 1104716232
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.