Provider Demographics
NPI:1114584844
Name:HARDING, TARA (LPAT, ATR-BC)
Entity Type:Individual
Prefix:MS
First Name:TARA
Middle Name:
Last Name:HARDING
Suffix:
Gender:F
Credentials:LPAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 FORTNEY LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT WASHINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40047-7335
Mailing Address - Country:US
Mailing Address - Phone:859-466-5287
Mailing Address - Fax:
Practice Address - Street 1:169 FORTNEY LN
Practice Address - Street 2:
Practice Address - City:MOUNT WASHINGTON
Practice Address - State:KY
Practice Address - Zip Code:40047-7335
Practice Address - Country:US
Practice Address - Phone:859-466-5287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY163488221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist