Individual provider · Type 1 NPI
Tara Ellan Kemnitz, LMT
Massage Therapist · Gilbert, AZ
NPI number
1215325774
Active
Practice location
1467 W Elliot Rd Ste 103
Gilbert, AZ 85233-5167
Mailing address
11336 E Roscoe Ave
Mesa, AZ 85212-4125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | #MT-20238 (AZ) |
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 1215325774
Tara Ellan Kemnitz, LMT's National Provider Identifier is 1215325774, issued on Jan 6, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gilbert, AZ. The record was last updated on Jan 6, 2015.