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Contact Information

TARA R DOMINGUEZ, PT
10400 W 103RD ST STE 22
OVERLAND PARK, KS66214-2664
 Phone: 913-322-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TARA R DOMINGUEZ · (Female)

NPI # 1346497534
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 08/19/2008
Last updated 12/27/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 1105159
  • MO License # 2008024821
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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