Tara Brooke Centra
Individual provider Active NPI Chiropractor · Reynoldsville, PA
NPI 1194132373 · NPPES record last updated Jan 23, 2015
Key facts
- NPI
- 1194132373
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC010900 (PA)
- Practice address
- 105 E Main St
Reynoldsville, PA 15851-1244 - Phone
- (814) 653-9514
- Fax
- (814) 653-8842
- NPI assigned
- Jul 19, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010900 | PA | Yes |
Addresses
Primary practice location
105 E Main St
Reynoldsville, PA 15851-1244
Mailing address
105 E Main St
Reynoldsville, PA 15851-1244
Phone (814) 653-9514
Other names
- Tara Brooke Dean
Other providers in Reynoldsville, PA
- Angelus Home Health Care LLC
- Bonfire Speech Services
- Corey A Bookhamer
- Nicholas Angelo Centra
- James F Cobbett
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
All providers in Reynoldsville, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.