TARA D HUMPHREYS

SHELBYVILLE, IN
NPI1467822320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: IN  36001308A)
Enumeration Date2015-10-03
Last Update Date2015-10-03
Business Address
Mrs. TARA D HUMPHREYS LAT, ATC
275 W BASSETT RD
SHELBYVILLE, IN 46176-8574
Phone number: 317-392-2161
Mailing Address
Mrs. TARA D HUMPHREYS LAT, ATC
12345 E LEGAL TENDER RD
COLUMBUS, IN 47203-9424
Phone number: 812-350-7495
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