Search › Wisconsin › Physical Therapy Assistant
Tara Herides, PTA
NPI 1053877530 · on the registry since 2019
Practice
- Address
- 425 Summit St
Wild Rose, WI 54984 - Phone
- (920) 622-4342
- Fax
- (920) 622-3655
- Organisation at this address
- Wisconsin Illinois Senior Housing Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin