Provider Demographics
NPI:1316417140
Name:TARBOX, HANNA RUTH (DPT)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:RUTH
Last Name:TARBOX
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12937 SPRAGUE LANE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020
Mailing Address - Country:US
Mailing Address - Phone:385-398-8034
Mailing Address - Fax:
Practice Address - Street 1:227 CENTERVILLE RD FL 2
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4394
Practice Address - Country:US
Practice Address - Phone:401-732-8200
Practice Address - Fax:401-732-8230
Is Sole Proprietor?:No
Enumeration Date:2018-12-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL39631225100000X
PA225100000X
NY225100000X
VT225100000X
RIPT03112225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist