Provider Demographics
NPI:1811285877
Name:BEYER-ROBBINS, TARA JOANN (PTA)
Entity type:Individual
Prefix:MRS
First Name:TARA
Middle Name:JOANN
Last Name:BEYER-ROBBINS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21101 KINGSLAND BLVD
Mailing Address - Street 2:#1111
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5551
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21101 KINGSLAND BLVD
Practice Address - Street 2:#1111
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5551
Practice Address - Country:US
Practice Address - Phone:281-384-5991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2052159225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant