Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TARAH JUDITH AN PHONGSAVATH, DPT
ActiveDR. TARAH JUDITH AN PHONGSAVATH, DPT is a Physical Therapy Assistant healthcare provider located in KANSAS CITY, Missouri. NPI 1780422006 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · KANSAS CITY, MO
Registration Details
- NPI Number
- 1780422006
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2024 (2.0709549065793 yrs)
- Last Updated
- Aug 13, 2024
- License
-
11-07644 (KS)
Practice Information
- Address
-
601 E 63RD STKANSAS CITY, MO, 641103303Browse MO providers · Browse ZIP 64110
- Phone
- 8165692802
- Fax
- 8165695436
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in KANSAS CITY, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. LESLIE L RICKETTS | M.P.T. | 1295735074 |
| DANIEL SHANE JACKSON | DPT | 1952301756 |
| MR. FRANK JOSEPH TERMINI | PT | 1083601777 |
| MR. GERALD N LAMPE | PT PHD | 1720069818 |
| MRS. JAMIE JO SMITH | MPT | 1598734964 |
| MR. ARNOLD E VILLAVICENCIO | — | 1629047063 |
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.