SearchIndiana183500000X

Tara Boelke

NPI 1740885615 · on the registry since 2020

Practice

Address
207 S Lebanon St
Lebanon, IN 46052
Phone
(765) 482-3630
Organisation at this address
Hook-Superx Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-01

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 Indiana