Individual provider · Type 1 NPI
Tara Sistrunk, LMT
Massage Therapist · Post Falls, ID
NPI number
1205501079
Active
Practice location
3900 E 16th Ave
Post Falls, ID 83854-8925
Fax (208) 694-1423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MAS-4445 (ID) |
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.
3 other providers at this address
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About NPI 1205501079
Tara Sistrunk, LMT's National Provider Identifier is 1205501079, issued on Aug 12, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Post Falls, ID. The record was last updated on Aug 12, 2021.