MRS. TARA YESKE A.T.C. NPI 1598195794

NPI Information

  • NPI: 1598195794
  • Provider Name: MRS. TARA YESKE, A.T.C.
  • Classification: Rehabilitation Practitioner - 225400000X
  • Entity Type: Individual
  • Address: 4100 LAKE DR SE
    SUITE 300
    GRAND RAPIDS, MI
    ZIP 49546
  • Phone: (616) 267-8860

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NPI Details

MRS. Tara Yeske, A.T.C. is a rehabilitation practitioner in Grand Rapids, MI. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. MRS. Tara Yeske, A.T.C. NPI is 1598195794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4100 LAKE DR SE
SUITE 300
GRAND RAPIDS, MI
ZIP 49546-292
Phone: (616) 267-8860

The enumeration date for this NPI number is 11/25/2013 and was last updated on 11/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225400000XRehabilitation Practitioner2601001079MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12601001079OTHERMICHIGANATHLETIC TRAINING LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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