Provider Demographics
NPI:1689907578
Name:TARR, JON RYAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:RYAN
Last Name:TARR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 AIRPORT PULLING RD S
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-3510
Mailing Address - Country:US
Mailing Address - Phone:239-228-5255
Mailing Address - Fax:
Practice Address - Street 1:233 AIRPORT PULLING RD S
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-3510
Practice Address - Country:US
Practice Address - Phone:239-228-5255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor