Individual provider · Type 1 NPI

Tad D. Childers

Massage Therapist · Pueblo, CO

NPI number 1083987762 Active

Practice location

2310 S Prairie Ave
Pueblo, CO 81005-4801

Call (719) 406-3210 Map

Mailing address

1041 Cypress St
Pueblo, CO 81004-2503

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6794 (CO)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1083987762

Tad D. Childers's National Provider Identifier is 1083987762, issued on Feb 10, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pueblo, CO. The record was last updated on Mar 11, 2015.