Tara Ecklund, PTA

Physical Therapy Assistant · Republic, MO

Individual Active NPI

NPI number 1376304428

Practice location

2673 E Sawyer Rd
Republic, MO 65738-7574
Phone
(417) 324-7646

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NPI record

NPI
1376304428
Entity type
Individual (Type 1)
Enumeration date
January 17, 2024
Last updated
January 17, 2024
Certified
January 16, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2015024299 MO

Mailing address

843 Scenic View Ct
Nixa, MO 65714-7609
Phone
(417) 818-6488

About Tara Ecklund

Tara Ecklund, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 2673 E Sawyer Rd, Republic, MO 65738-7574. The NPI number 1376304428 was assigned on January 17, 2024 and the record was last updated on January 17, 2024.

Tara Ecklund lists a license in the registry: #2015024299 (MO) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tara Ecklund, PTA?

The NPI number is 1376304428.

What is the phone number of Tara Ecklund?

The phone number listed for the practice location is (417) 324-7646.

Where is Tara Ecklund located?

2673 E Sawyer Rd, Republic, MO 65738-7574.

What is the taxonomy code for Tara Ecklund?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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