Provider Demographics
NPI:1942349311
Name:BARR, TAMARA TRUBEY (MS, PT)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:TRUBEY
Last Name:BARR
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 EAST 70TH STREET
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64113-2520
Mailing Address - Country:US
Mailing Address - Phone:816-679-5626
Mailing Address - Fax:
Practice Address - Street 1:125 E 70TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64113-2520
Practice Address - Country:US
Practice Address - Phone:816-679-5626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO108054174400000X
KS1102248174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist