Provider Demographics
NPI:1336639178
Name:REHM, TARA E
Entity Type:Individual
Prefix:MRS
First Name:TARA
Middle Name:E
Last Name:REHM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1769 MISSOURI STATE RD
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-2005
Mailing Address - Country:US
Mailing Address - Phone:636-282-6965
Mailing Address - Fax:
Practice Address - Street 1:1769 MISSOURI STATE RD
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-2005
Practice Address - Country:US
Practice Address - Phone:636-282-6965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist