Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tara Ecklund, PTA

Individual provider Physical Therapy Assistant · NPI 1376304428

Mrs. Tara Ecklund, PTA is a Physical Therapy Assistant in Republic, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2673 E Sawyer Rd
Republic, MO 65738-7574
Phone: (417) 324-7646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2015024299 (MO)

Record details

NPI number1376304428
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 17, 2024
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 16, 2024
Mailing address843 Scenic View Ct, Nixa, MO 65714-7609

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