IndividualActive
Tara Hatley
NPI 1336906486 · Contractor · Poplar Bluff, MO
Provider details
- NPI number
- 1336906486
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1638 County Road 467
Poplar Bluff, MO 63901-2976
Phone: (573) 300-5394
Approximate (ZIP-level) locationGet directions
Mailing address
1638 County Road 467
Poplar Bluff, MO 63901-2976
Registry dates
- Enumerated
- 2024-03-05
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.