| Tara Prater, | |
|
5330 Laytham Pike, Mayslick, KY 41055-8930 | |
| (606) 763-6255 | |
| (606) 763-6245 |
| Full Name | Tara Prater |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 5330 Laytham Pike, Mayslick, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528181872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | R2652 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Prater, 6004 Parry Ln, Maysville, KY 41056-8608 Ph: (606) 763-6255 | Tara Prater, 5330 Laytham Pike, Mayslick, KY 41055-8930 Ph: (606) 763-6255 |
Tabitha Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5330 Laytham Pike, Mayslick, KY 41055 Phone: 606-763-6255 Fax: 606-763-6245 | |
Teresa Shannon Gootee, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5330 Laytham Pike, Mayslick, KY 41055 Phone: 606-763-6245 | |
Kim B Mccloud, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5330 Laytham Pike, Mayslick, KY 41055 Phone: 606-763-6255 Fax: 606-763-6245 |