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

Tara Herides, PTA

Individual provider Physical Therapy Assistant · NPI 1053877530

Tara Herides, PTA is a Physical Therapy Assistant in Wild Rose, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

425 Summit St
Wild Rose, WI 54984-6804
Phone: (920) 622-4342
Fax: (920) 622-3655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2902 (WI)

Record details

NPI number1053877530
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 20, 2019
Last updated in NPPESFebruary 20, 2019
Mailing addressN5436 Nutter St, Wild Rose, WI 54984-6752

Other providers in Wild Rose