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Mrs. Tara Yeske, ATC
Rehabilitation Practitioner in Grand Rapids, Michigan
NPI 1598195794

Tara Yeske is a Rehabilitation Practitioner based in Okemos, MI. Tara Yeske practices in Grand Rapids, MI and has the professional credentials of ATC. The NPI Number for Tara Yeske is 1598195794 and holds a License No. 2601001079 (Michigan).

The current practice location address for Tara Yeske is 4100 Lake Dr Se, Grand Rapids, MI and can be reached out via phone at 616-267-8860. You can also correspond with Tara Yeske through the mailing address at 4545 PIMLICO PL, OKEMOS, MI - 48864-2392 (mailing address contact number: 860-573-5532).

Location: 4100 Lake Dr Se, Grand Rapids, MI, 48864-2392
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Provider Profile Details
NPI Number
1598195794
Provider Name
Tara Yeske
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
4100 Lake Dr Se, Grand Rapids, MI, 48864-2392
Phone Number
616-267-8860
Fax Number
Provider Enumeration Date
11/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2601001079 01 MI ATHLETIC TRAINING LICENSE
institution
Provider Business Practice Location Address Details
Address
4100 Lake Dr Se
City
State
Zip
49546-8292
Phone Number
616-267-8860
Fax Number
person
Provider Business Mailing Address Details
Address
4100 Lake Dr Se
City
State
Zip
49546-8292
Phone Number
616-267-8860
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
License No.
2601001079 (Michigan)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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