Provider Demographics
NPI:1255603056
Name:TARBET, AMBER KRISTEN (MSPT)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:KRISTEN
Last Name:TARBET
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6485 ASHBY GROVE LOOP
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-3211
Mailing Address - Country:US
Mailing Address - Phone:214-532-4973
Mailing Address - Fax:
Practice Address - Street 1:6485 ASHBY GROVE LOOP
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-3211
Practice Address - Country:US
Practice Address - Phone:214-532-4973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT36832225100000X
TX1146448225100000X
VA2305216879225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist