Provider Demographics
NPI:1952115008
Name:ALIOTO, TARA
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:ALIOTO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 CRESTVIEW ST
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-4722
Mailing Address - Country:US
Mailing Address - Phone:614-477-1645
Mailing Address - Fax:
Practice Address - Street 1:1202 CRESTVIEW ST
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-4722
Practice Address - Country:US
Practice Address - Phone:614-477-1645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-06
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker