Active NPIIndividual providerSole proprietor

Tamara Osterhout, MS, LAT

Specialist/Technologist, Athletic Trainer in Mount Holly, New Jersey

NPI Number1740889567
Practice location
520 Jacksonville RD, Mount Holly, NJ 08060-1239
Fax
—
Last updated
October 22, 2020

Tamara Osterhout is a Specialist/Technologist, Athletic Trainer based in Mount Holly, NJ. Tamara Osterhout practices in Mount Holly, NJ and has the professional credentials of MS, LAT. The NPI Number for Tamara Osterhout is 1740889567 and holds a License No. 25MT00174500 (NJ). The current practice location address for Tamara Osterhout is 520 Jacksonville RD, Mount Holly, NJ 08060-1239 and can be reached out via phone at 860-402-9069.

Provider Profile Details

NPI Number
1740889567
Provider Name
Tamara Osterhout
Credential
MS, LAT
Provider Entity Type
Individual
Gender
Female
Address
520 Jacksonville RD, Mount Holly, NJ 08060-1239
Phone Number
860-402-9069
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
October 22, 2020
Last Update Date
October 22, 2020
Certification Date
October 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
520 Jacksonville RD
Mount Holly, NJ 08060-1239
Zip
08060-1239
Phone Number
860-402-9069
Mount Holly, NJ 08060Get directions →

Provider Business Mailing Address Details

Address
131 W End Ave
Haddonfield, NJ 08033-2617
City
Haddonfield
State
NJ
Zip
08033-2617

License Information

License Number
25MT00174500
License State
NJ
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tamara Osterhout, MS, LAT?

The NPI number of Tamara Osterhout, MS, LAT is 1740889567. It was assigned on October 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Tamara Osterhout, MS, LAT?

Tamara Osterhout, MS, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00174500.

Where does Tamara Osterhout, MS, LAT practice?

The practice location is 520 Jacksonville RD, Mount Holly, NJ 08060-1239. The office can be reached at 860-402-9069 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740889567 directly on the NPPES registry website.

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