Provider Demographics
NPI:1093364861
Name:SANCHEZ, TARA (MS,LAT, ATC)
Entity type:Individual
Prefix:MISS
First Name:TARA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MS,LAT, ATC
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:
Other - Last Name:COLLINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 W AUSTIN BLVD
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:MO
Mailing Address - Zip Code:64772-2763
Mailing Address - Country:US
Mailing Address - Phone:417-667-8181
Mailing Address - Fax:
Practice Address - Street 1:606 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:KS
Practice Address - Zip Code:66035-4165
Practice Address - Country:US
Practice Address - Phone:785-442-6104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-05
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2255A2300X
KS2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer